28154700 Visualization

We present a case of pancreatic Disease_disorder tumor Disease_disorder without History a History history History of History trauma Disease_disorder or History panceratitis Disease_disorder .
A 47 Age - year Age - old Age Tunisian Personal_background man Sex with a history of Crohn's Disease_disorder disease Disease_disorder was admitted Clinical_event to the University Nonbiological_location Hospital Nonbiological_location in 2015 Date because of fluid Detailed_description chronic Detailed_description diarrhea Sign_symptom with 4 Quantitative_concept stools Diagnostic_procedure per Diagnostic_procedure day Diagnostic_procedure daytime Qualitative_concept only Qualitative_concept with out ooddebr Other_event is associated with vomiting Sign_symptom with out abdominal Biological_structure pain Sign_symptom or fever Sign_symptom with a weight Sign_symptom loss Sign_symptom not encrypted dating from Duration 6 Duration months Duration .
Laboratory Diagnostic_procedure tests Diagnostic_procedure were normal Qualitative_concept .
Nonspecific elevations Qualitative_concept of serum Biological_structure pancreatic Diagnostic_procedure enzymes Diagnostic_procedure .
Patient underwent an abdominal Biological_structure ultrasound Diagnostic_procedure and computed Diagnostic_procedure tomography Diagnostic_procedure ( CT Diagnostic_procedure ) that revealed: Aspect of ileitis Disease_disorder of the last Biological_structure ileal Biological_structure loop Biological_structure extended Sign_symptom by 300 Distance mm Distance with distended Sign_symptom ileal Biological_structure loops Biological_structure upstream Detailed_description , cystic Detailed_description image Sign_symptom at the tail Biological_structure of Biological_structure the Biological_structure pancreas Biological_structure with clean wall uncalcified Sign_symptom and hypodense content of fluid density without endoluminal Biological_structure bourgeon Sign_symptom or pancreatic Biological_structure duct Biological_structure dilatation Sign_symptom , measuring 28 Area x Area 22mm Area (Figure 1).
The size Diagnostic_procedure of the head Biological_structure was normal Qualitative_concept .
There were no enlarged Sign_symptom lymph Biological_structure nodes Biological_structure (Figure 2).
Aspect of bilateral Detailed_description sacroiliitis Disease_disorder and bilateral Detailed_description coxarthrosis Disease_disorder .
MRI Diagnostic_procedure show an aspect of ileitis Disease_disorder of the last Biological_structure ileal Biological_structure loop Biological_structure and the cystic Detailed_description nature Detailed_description of a pancreatic Biological_structure lesion Sign_symptom , with parietal Detailed_description enhancement Sign_symptom at the caudal Biological_structure portion Biological_structure of Biological_structure the Biological_structure pancreas Biological_structure with a slight Severity dilation Sign_symptom of the Wirsung Biological_structure .
Otherwise, gallbladder Biological_structure contains multiple Detailed_description gallstones Sign_symptom and biliary Sign_symptom sludge Sign_symptom .
Tumor Diagnostic_procedure markers Diagnostic_procedure are normal.on the other hand, in colonoscopy Diagnostic_procedure terminal Biological_structure ileum Biological_structure appears swollen Sign_symptom , inflamed Sign_symptom , with frequent ulcerations Sign_symptom and biopsies Diagnostic_procedure were made.
The biopsies Diagnostic_procedure were taken and show a subacute Detailed_description and ulcerative Detailed_description ileitis Disease_disorder compatible with Crohn's Disease_disorder disease Disease_disorder .
Esophagogastroduodenoscopy Diagnostic_procedure was normal Lab_value .
The patient was operated by laparoscopy Therapeutic_procedure , he had a caudal Detailed_description pancreatectomy Therapeutic_procedure and cholecystectomy Therapeutic_procedure .1.5 cm Distance cystic Detailed_description tumor Sign_symptom in the tail Biological_structure of Biological_structure pancreas Biological_structure was resected Therapeutic_procedure and sent for pathological Diagnostic_procedure examination Diagnostic_procedure .
The post Diagnostic_procedure - operative Diagnostic_procedure course Diagnostic_procedure was uneventful Lab_value .
Patient was discharged Clinical_event home Nonbiological_location within Date 7 Date days Date in a good Lab_value general Diagnostic_procedure condition Diagnostic_procedure .
There were no symptoms Sign_symptom of Sign_symptom glucose Sign_symptom intolerance Sign_symptom after normal Qualitative_concept diet Therapeutic_procedure administration.
The microscopic Diagnostic_procedure examination Diagnostic_procedure revealed well Detailed_description differentiated Detailed_description cystic Detailed_description neuro Disease_disorder endocrine Disease_disorder tumor Disease_disorder of the tail Biological_structure of Biological_structure the Biological_structure pancreas Biological_structure grade Qualitative_concept I Qualitative_concept according to the classification of WHO 2010 ( mitosis Diagnostic_procedure <2/10CFG Lab_value and Ki67<2% ) associated with neuroendocrine Disease_disorder hyperplasia Disease_disorder lesions Disease_disorder of islets Biological_structure of Biological_structure Langerhans Biological_structure , surgical Diagnostic_procedure limit Diagnostic_procedure was healthy Lab_value , pTNM Diagnostic_procedure pT2 Lab_value , ectopic Sign_symptom spleen Biological_structure , chronic Detailed_description cholecystitis Disease_disorder .
the patient come for out Clinical_event - patient Clinical_event consultations Clinical_event at the hospital Biological_structure , he felt Outcome well Outcome , with no severe Severity complaints Sign_symptom and with correct Lab_value periodic Diagnostic_procedure findings Diagnostic_procedure and normal Lab_value glucose Diagnostic_procedure metabolism Diagnostic_procedure .