Publications by authors named "Joana Carolina Gomez-Adrian"
Article Synopsis
- A 76-year-old male underwent laparoscopic cholecystectomy due to acute cholecystitis, revealing chronic cholecystitis and a thickened cystic duct.
- An anatomical pathology analysis found high-grade dysplasia at the cystic duct's distal edge, prompting an endoscopic retrograde cholangiopancreatography (ERCP) that showed a suspicious lesion near the bile duct junction.
- A follow-up surgery involved resecting the extrahepatic bile duct and lymph nodes, resulting in a definitive diagnosis of pancreaticobiliary intraductal papillary mucinous neoplasia with high-grade dysplasia and confirmed free margins.
Liver failure (LF) is a severe entity, which represents a diagnostic challenge for clinicians. Knowing the etiology of liver aggression is key for its management. We present a rare case of cholestatic LF secondary to primary AL (kappa-light chain) amyloidosis as a presentation associated to multiple myeloma.
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