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[Multifocal biliary papillomatosis: an indication for liver transplantation]. / Papillomatose multifocale des voies biliaires: une indication de transplantation hépatique.
Ciardullo, M A; Pekolj, J; Acuña Barrios, J E; Gadano, A; Mullen, E; Castaing, D; de Santiñañes, E.
Afiliação
  • Ciardullo MA; Servicio de cirurgia, hospital italiano, Buenos Aires, Argentine.
Ann Chir ; 128(3): 188-90, 2003 Apr.
Article em Fr | MEDLINE | ID: mdl-12821089
Biliary papillomatosis is a uncommon disease. Because of the high rate of recurrence and the possibility of malignant transformation, liver resection or transplantation was recommended. A case of diffuse bilobar biliary papillomatosis, in a 60 years old patient, responsible for cholangitis, cholestasis and for high portal pressure (esophageal varices grade I and II and hypersplenisme) is reported. The patient had had an external biliary drainage leading to an great loss of hydroelectrolytic component important. Opacification and biopsies under endoscopic control assert the right diagnosis. He was treated by a orthotopic liver transplantation. Post operative course was simple. In the 9th month, it was asymptomatic with a completely satisfactory evolution. The other therapeutic modalities was discussed, as well as the review of the literature.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Papiloma / Neoplasias do Sistema Biliar / Transplante de Fígado / Seleção de Pacientes Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Humans / Male / Middle aged Idioma: Fr Revista: Ann Chir Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Argentina País de publicação: França
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Papiloma / Neoplasias do Sistema Biliar / Transplante de Fígado / Seleção de Pacientes Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Humans / Male / Middle aged Idioma: Fr Revista: Ann Chir Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Argentina País de publicação: França