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[A rare case of cholostasis from tuberculotic infiltration of Vater's ampulla]
P D Ricci1, G Guaiana, G Malfatti
1Azienda USL n. 2--Lucca, Unità Operativa di Medicina Generale.
Abstract:
A rare case of cholostasis from tuberculotic infiltration of the Vater's ampulla is described and was observed in a patient 83 years old. The diagnosis was made at operation after a positive radiologic evidence of an oddian stenosis with cholostasis and an important dilatation of the bile ducts. The surgical operation and the antituberculotic therapy allowed to overcome the cholostasis and the specific infection of the patient and to improve his quality of life and to prolong his survival. The description of this case, in our opinion, is important to underline that tuberculosis of the biliary papilla should be kept in mind as a possible, but rare cause, of obstructive jaundice, during the differential diagnosis.
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