Case records of the Massachusetts General Hospital: Case 27-2003: A 36-year-old man with recurrent epigastric pain and elevated amylase levels
Computed tomographic (CT) scanning of the abdomen and pelvis, performed after the oral and intravenous administration of contrast material, showed that the head and body of the pancreas were enlarged; there was no evidence of dilatation of the pancreatic duct or common bile duct (Figure 1 ). Seven w...
Gespeichert in:
Veröffentlicht in: | The New England journal of medicine 2003-08, Vol.349 (9), p.893 |
---|---|
Hauptverfasser: | , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 9 |
container_start_page | 893 |
container_title | The New England journal of medicine |
container_volume | 349 |
creator | Cabot, Richard C Harris, Nancy Lee McNeely, William F Shepard, Jo-Anne O Ebeling, Sally H Ellender, Stacey M Peters, Christine C Fernández-del Castillo, Carlos F Sahani, Dushyant V Lauwers, Gregory Y |
description | Computed tomographic (CT) scanning of the abdomen and pelvis, performed after the oral and intravenous administration of contrast material, showed that the head and body of the pancreas were enlarged; there was no evidence of dilatation of the pancreatic duct or common bile duct (Figure 1 ). Seven weeks before admission, a repeated endoscopic retrograde cholangiopancreatographic examination showed that the stricture that had been seen in the distal third of the common bile duct on the previous examination appeared to have resolved; there was diffuse irregularity of the duct in the pancreatic head, and the main pancreatic duct was completely obstructed at the level of the pancreatic neck (Figure 2B ). |
format | Article |
fullrecord | <record><control><sourceid>proquest</sourceid><recordid>TN_cdi_proquest_journals_223926991</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>417649181</sourcerecordid><originalsourceid>FETCH-proquest_journals_2239269913</originalsourceid><addsrcrecordid>eNqNjMFOwzAQRC1EJQLlH1bcLTl2SHFvqAJ64ca9WiVb4sq1g3cD6k_wzaSID2Auo9HMvAtV1ffO6aYx7aWqjLEPull5d6WumQ9mVt34Sn1vkAkKdbn0DHkPMhC8IjN2w8QkwvBCiQpG2GYeg2Bcw-_HrrQ1xq3hEVyrT4RF59jDERN8BRnOzKkUSgI0hndkKaGDEUMCTD1QpE8U6gGPp3jGzZkiL9Vij5Hp9s9v1N3z09tmq8eSPyZi2R3yVNJc7ax13rbe1-5fox_-OVRm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>223926991</pqid></control><display><type>article</type><title>Case records of the Massachusetts General Hospital: Case 27-2003: A 36-year-old man with recurrent epigastric pain and elevated amylase levels</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>New England Journal of Medicine</source><creator>Cabot, Richard C ; Harris, Nancy Lee ; McNeely, William F ; Shepard, Jo-Anne O ; Ebeling, Sally H ; Ellender, Stacey M ; Peters, Christine C ; Fernández-del Castillo, Carlos F ; Sahani, Dushyant V ; Lauwers, Gregory Y</creator><creatorcontrib>Cabot, Richard C ; Harris, Nancy Lee ; McNeely, William F ; Shepard, Jo-Anne O ; Ebeling, Sally H ; Ellender, Stacey M ; Peters, Christine C ; Fernández-del Castillo, Carlos F ; Sahani, Dushyant V ; Lauwers, Gregory Y</creatorcontrib><description>Computed tomographic (CT) scanning of the abdomen and pelvis, performed after the oral and intravenous administration of contrast material, showed that the head and body of the pancreas were enlarged; there was no evidence of dilatation of the pancreatic duct or common bile duct (Figure 1 ). Seven weeks before admission, a repeated endoscopic retrograde cholangiopancreatographic examination showed that the stricture that had been seen in the distal third of the common bile duct on the previous examination appeared to have resolved; there was diffuse irregularity of the duct in the pancreatic head, and the main pancreatic duct was completely obstructed at the level of the pancreatic neck (Figure 2B ).</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston: Massachusetts Medical Society</publisher><subject>Abdomen ; Pain ; Pancreas</subject><ispartof>The New England journal of medicine, 2003-08, Vol.349 (9), p.893</ispartof><rights>Copyright © 2003 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids></links><search><creatorcontrib>Cabot, Richard C</creatorcontrib><creatorcontrib>Harris, Nancy Lee</creatorcontrib><creatorcontrib>McNeely, William F</creatorcontrib><creatorcontrib>Shepard, Jo-Anne O</creatorcontrib><creatorcontrib>Ebeling, Sally H</creatorcontrib><creatorcontrib>Ellender, Stacey M</creatorcontrib><creatorcontrib>Peters, Christine C</creatorcontrib><creatorcontrib>Fernández-del Castillo, Carlos F</creatorcontrib><creatorcontrib>Sahani, Dushyant V</creatorcontrib><creatorcontrib>Lauwers, Gregory Y</creatorcontrib><title>Case records of the Massachusetts General Hospital: Case 27-2003: A 36-year-old man with recurrent epigastric pain and elevated amylase levels</title><title>The New England journal of medicine</title><description>Computed tomographic (CT) scanning of the abdomen and pelvis, performed after the oral and intravenous administration of contrast material, showed that the head and body of the pancreas were enlarged; there was no evidence of dilatation of the pancreatic duct or common bile duct (Figure 1 ). Seven weeks before admission, a repeated endoscopic retrograde cholangiopancreatographic examination showed that the stricture that had been seen in the distal third of the common bile duct on the previous examination appeared to have resolved; there was diffuse irregularity of the duct in the pancreatic head, and the main pancreatic duct was completely obstructed at the level of the pancreatic neck (Figure 2B ).</description><subject>Abdomen</subject><subject>Pain</subject><subject>Pancreas</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNjMFOwzAQRC1EJQLlH1bcLTl2SHFvqAJ64ca9WiVb4sq1g3cD6k_wzaSID2Auo9HMvAtV1ffO6aYx7aWqjLEPull5d6WumQ9mVt34Sn1vkAkKdbn0DHkPMhC8IjN2w8QkwvBCiQpG2GYeg2Bcw-_HrrQ1xq3hEVyrT4RF59jDERN8BRnOzKkUSgI0hndkKaGDEUMCTD1QpE8U6gGPp3jGzZkiL9Vij5Hp9s9v1N3z09tmq8eSPyZi2R3yVNJc7ax13rbe1-5fox_-OVRm</recordid><startdate>20030828</startdate><enddate>20030828</enddate><creator>Cabot, Richard C</creator><creator>Harris, Nancy Lee</creator><creator>McNeely, William F</creator><creator>Shepard, Jo-Anne O</creator><creator>Ebeling, Sally H</creator><creator>Ellender, Stacey M</creator><creator>Peters, Christine C</creator><creator>Fernández-del Castillo, Carlos F</creator><creator>Sahani, Dushyant V</creator><creator>Lauwers, Gregory Y</creator><general>Massachusetts Medical Society</general><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20030828</creationdate><title>Case records of the Massachusetts General Hospital: Case 27-2003: A 36-year-old man with recurrent epigastric pain and elevated amylase levels</title><author>Cabot, Richard C ; Harris, Nancy Lee ; McNeely, William F ; Shepard, Jo-Anne O ; Ebeling, Sally H ; Ellender, Stacey M ; Peters, Christine C ; Fernández-del Castillo, Carlos F ; Sahani, Dushyant V ; Lauwers, Gregory Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_2239269913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Abdomen</topic><topic>Pain</topic><topic>Pancreas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cabot, Richard C</creatorcontrib><creatorcontrib>Harris, Nancy Lee</creatorcontrib><creatorcontrib>McNeely, William F</creatorcontrib><creatorcontrib>Shepard, Jo-Anne O</creatorcontrib><creatorcontrib>Ebeling, Sally H</creatorcontrib><creatorcontrib>Ellender, Stacey M</creatorcontrib><creatorcontrib>Peters, Christine C</creatorcontrib><creatorcontrib>Fernández-del Castillo, Carlos F</creatorcontrib><creatorcontrib>Sahani, Dushyant V</creatorcontrib><creatorcontrib>Lauwers, Gregory Y</creatorcontrib><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cabot, Richard C</au><au>Harris, Nancy Lee</au><au>McNeely, William F</au><au>Shepard, Jo-Anne O</au><au>Ebeling, Sally H</au><au>Ellender, Stacey M</au><au>Peters, Christine C</au><au>Fernández-del Castillo, Carlos F</au><au>Sahani, Dushyant V</au><au>Lauwers, Gregory Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case records of the Massachusetts General Hospital: Case 27-2003: A 36-year-old man with recurrent epigastric pain and elevated amylase levels</atitle><jtitle>The New England journal of medicine</jtitle><date>2003-08-28</date><risdate>2003</risdate><volume>349</volume><issue>9</issue><spage>893</spage><pages>893-</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>Computed tomographic (CT) scanning of the abdomen and pelvis, performed after the oral and intravenous administration of contrast material, showed that the head and body of the pancreas were enlarged; there was no evidence of dilatation of the pancreatic duct or common bile duct (Figure 1 ). Seven weeks before admission, a repeated endoscopic retrograde cholangiopancreatographic examination showed that the stricture that had been seen in the distal third of the common bile duct on the previous examination appeared to have resolved; there was diffuse irregularity of the duct in the pancreatic head, and the main pancreatic duct was completely obstructed at the level of the pancreatic neck (Figure 2B ).</abstract><cop>Boston</cop><pub>Massachusetts Medical Society</pub></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0028-4793 |
ispartof | The New England journal of medicine, 2003-08, Vol.349 (9), p.893 |
issn | 0028-4793 1533-4406 |
language | eng |
recordid | cdi_proquest_journals_223926991 |
source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
subjects | Abdomen Pain Pancreas |
title | Case records of the Massachusetts General Hospital: Case 27-2003: A 36-year-old man with recurrent epigastric pain and elevated amylase levels |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T01%3A13%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Case%20records%20of%20the%20Massachusetts%20General%20Hospital:%20Case%2027-2003:%20A%2036-year-old%20man%20with%20recurrent%20epigastric%20pain%20and%20elevated%20amylase%20levels&rft.jtitle=The%20New%20England%20journal%20of%20medicine&rft.au=Cabot,%20Richard%20C&rft.date=2003-08-28&rft.volume=349&rft.issue=9&rft.spage=893&rft.pages=893-&rft.issn=0028-4793&rft.eissn=1533-4406&rft.coden=NEJMAG&rft_id=info:doi/&rft_dat=%3Cproquest%3E417649181%3C/proquest%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=223926991&rft_id=info:pmid/&rfr_iscdi=true |