PDF(Pubmed)
Abstract：
Obstructive jaundice, characterised by yellow discolouration of the skin and mucous membranes due to reduced bile flow, often necessitates surgical intervention for resolution. This article provides a comprehensive literature review to contextualise the management of obstructive jaundice, focusing on common treatment modalities such as common bile duct (CBD) stenting and Whipple\'s procedure for pancreatic head cancer. Additionally, the incidental finding of a Phrygian cap of the gallbladder during surgical intervention for pancreatic head cancer is described in detail. A case presentation of a 48-year-old female with obstructive jaundice and pancreatic head cancer is outlined, detailing the diagnostic process, treatment decisions, and surgical interventions. The patient underwent CBD stenting followed by Whipple\'s procedure to address the pancreatic head cancer, during which the incidental discovery of a Phrygian cap of the gallbladder was noted. The discussion of the incidental finding highlights the complexity it adds to surgical interventions and emphasises the importance of adaptability and precision in managing anatomical variations. A comparison with similar cases underscores varying approaches to managing incidental findings, ranging from conservative observation to surgical excision based on clinical indications. This case underscores the significance of thorough diagnostic evaluation and surgical intervention in managing incidental findings such as the Phrygian cap, ensuring appropriate patient management and favourable clinical outcomes in complex surgical scenarios.
摘要：
阻塞性黄疸,由于胆汁流量减少，皮肤和粘膜呈黄色变色，通常需要手术干预才能解决。本文提供了一个全面的文献综述，以了解梗阻性黄疸的治疗背景，重点介绍胰头癌的常见治疗方式，如胆总管（CBD）支架置入术和Whipple手术。此外,详细描述了胰头癌手术干预期间胆囊的Phrygian帽的偶然发现。概述了一名48岁女性患有阻塞性黄疸和胰头癌的病例介绍，详细说明诊断过程，治疗决定，和手术干预。患者接受了CBD支架置入术，随后接受了Whipple手术以治疗胰头癌，在此期间，偶然发现了胆囊的Phrygian帽。对偶然发现的讨论强调了它增加了手术干预的复杂性，并强调了适应性和精确性在管理解剖变化中的重要性。与类似案例的比较强调了管理偶然发现的不同方法，从保守观察到基于临床适应症的手术切除。此病例强调了彻底的诊断评估和手术干预在管理诸如Phrygian帽之类的偶然发现中的重要性，在复杂的手术情况下确保适当的患者管理和良好的临床结果。
