7.2 CLINCIAL MANIFESTION
Periampullary carcinomas
of the head of the pancreas
present
with:
*
Jaundice with a palpable gall bladder (Courvoisier's law)
Fig.22.3)
*
Pain
*
Weight loss and a mass
7.3 CARCINOMA OF BODY
Radiation of pain to the back is seen in both
carcinoma of the
head and body.
*
Pain is extremely frequent in carcinomas of the body and tail
*
Progressive jaundice, anorexia and weakness are
the other
presentations
*
Diarrhoea, constipation and pruitis may also be seen
*
In jaundice cases, chills and fever are common
7.4 DIAGNOSIS
Investigations for jaundice and other liver function tests
are
required.
An ultrasound or CT may help to
establish the diagnosis.
An
endoscopy to view
the ampulla of vater and
an ERCP to
demonstrate the anatomy of biliary and
pancreatic ducts can also
help the diagnosis
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