ABSTRACT
We report the case of a child suffering from a graft versus host disease after an allogenic bone marrow transplantation. He developed intestinal, hepatic and cutaneous symptoms. The outcome after treatment was favorable with a total normalization.
Subject(s)
Bone Marrow Transplantation/adverse effects , Colonic Diseases/pathology , Graft vs Host Disease/pathology , Liver Diseases/pathology , Rectal Diseases/pathology , Adolescent , Colitis, Ulcerative/pathology , Hepatitis/pathology , Humans , MaleSubject(s)
Digestive System Diseases/diagnosis , Endoscopy , Premedication , Analgesics, Opioid/adverse effects , Analgesics, Opioid/pharmacokinetics , Analgesics, Opioid/therapeutic use , Anesthetics/therapeutic use , Anti-Anxiety Agents/adverse effects , Anti-Anxiety Agents/pharmacokinetics , Anti-Anxiety Agents/therapeutic use , Benzodiazepines , Humans , Monitoring, PhysiologicABSTRACT
This retrospective study was undertaken to evaluate the incidence of an abnormal pancreaticobiliary ductal union (long common duct) in biliary tract carcinoma. Of 86 patients presenting with such a cancer, 67 had a pre- or intra-operative radiologic examination. An abnormal pancreaticobiliary ductal union was found in only one 60 year old woman having stones associated with invasive gallbladder carcinoma. Operative cholangiogram revealed an early and marked Wirsung opacification with a 1.5 cm long common duct. This low incidence in our study contrasts deeply with Japanese data and raises several questions about the correct evaluation of pancreaticobiliary ductal union, the true consequences of such an anomaly and possible interracial variations in incidence.