Marcel Autran Cesar Machado

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Questions related from Marcel Autran Cesar Machado

Isolate Bile Duct Injury of segment 4. To resect or observe?

A 45-year-old woman underwent laparoscopic cholecystectomy 1 year ago. Post-operative period was complicated by pain in the upper right quadrant. CT scan showed a large bilioma (10 cm) that was...

29 July 2019 893 16 View

Resectable pancreatic head tumor deemed inoperable during laparotomy by other surgeon. 6th postoperative day. Reoperation or neoadjuvant chemotherapy?

A 65-year-old man with ductal adenocarcinoma in the head of the pancreas was operated elsewhere (laparotomy and biliary diversiobn) and he was considered inoperable. He was discharged and he came...

14 December 2017 3,154 33 View

Asymptomatic dilatation of main pancreatic duct after acute pancreatitis. Surgery or observation?

A 54-year old man had an episode of acute pancreatitis 4 years ago (drug related). He developed an obstruction of main pancreatic duct about 3 cm from the ampula of Vater. Since then the Wirsung...

22 February 2017 7,425 48 View

Klatskin tumor IIIa in a patient with primary sclerosing cholangitis.

I have a patient with Klatskin tumor IIIa (growing to the right ducts) and non cirrhotic primary sclerosing cholangitis. The problem is that the intrahepatic biliary ducts in the left liver...

12 August 2016 224 24 View

How long should a 34-year-old female wait to be pregnant after radical resection of periampullary carcinoma?

A 34-year-old female underwent robotic pancreatoduodenectomy in June 2018. Recovery was uneventful and pathology disclosed poorly differentiated adenocarcinoma of the Ampulla of Vater T3bN1M0. She...

01 January 1970 1,792 2 View