Abstract
A 55-year-old male patient was admitted to our hospital with thrombing pain in the lumbodorsal region. Ultrasonic examination and ERCP were carried out for a high CEA level in the screening examination. Both examinations revealed a cancerous lesion of the pancreas head. We performed celiac and superior mesenteric angiography to judge the operability. Both angiography clarified that the tumor invaded the common hepatic artery, pancreaticoduodenal artery, superior mesenteric vein and portal vein. We therefore diagnosed it to be an unresectable cancerous lesion of the pancreas head. On the other hand, the patient took obstructive jaundice with increasing serum bilirubin level from 0.5 mg/dl to 19.3 mg/dl in the following 3 weeks after admission. Then we carried out endoscopic retrograde biliary drainage after EST. Serum bilirubin level decreased 3.0 mg/dl during 2 weeks after ERBD. Now the patient is well without trable for 2 months.
