Biomedical subjects
Publications and source records attributed to J I Martín Parra.
We report a case of a large biliary cystadenoma occupying the entire peritoneal cavity, manifesting as an abdominal swelling for years and an elevation of CA 19.9 serum levels. Serum CA 19.9 levels fell to normal values after surgical excision. Recognition and management of this rare hepatic lesion is discussed.
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We report a patient having a non-diagnosed small cell lung cancer, presenting with a clinical picture comprising emaciation, hepatomegaly, progressive jaundice, bilirubinuria and clay-colored stools. Computed tomography showed intrahepatic and extrahepatic biliary duct dilatation. The cause was compression of the common bile duct by metastatic enlarged lymph nodes in the porta hepatis. Clinical suspicion arose because of a mass found on the chest X-ray film and a positive cytologic sputum examination. The definitive diagnosis was obtained by bronchoscopy and biopsy.