Home Archive Vol.41, No.3, 2015 The Role of Real Time Elastography in the Diagnosis of a Patient with Liver Cirrhosis and Carcinoma of the Uncinate Process of the Pancreas - Case Study

The Role of Real Time Elastography in the Diagnosis of a Patient with Liver Cirrhosis and Carcinoma of the Uncinate Process of the Pancreas - Case Study

Daniela Larisa Săndulescu(1), S.C. Dinescu(2), IOANA ANDREEA GHEONEA(3), Sineta Cristina Firulescu(2), S. Sandulescu(4)

(1)Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, Romania, (2)Department of Internal Medicine, Emergency County Hospital Craiova, Romania, (3)Radiology and Imaging Department, University of Medicine and Pharmacy of Craiova, Romania, (4)Surgery Department, Emergency County Hospital Craiova, Romania

    Abstract: Hepatic cirrhosis represents the most advanced stage of any chronic liver disease characterized by progressive fibrosis. We report the case of a patient with carcinoma of the uncinate process of the pancreas and an occult form of liver cirrhosis. We concluded, based on the bioclinical profile, that the jaundice syndrome had an underlying mixed mechanism, obstructive and hepatic. Although, the clinical suspicion of pancreatic cancer was backed up by ultrasound, computed tomography and magnetic resonance imaging, we did not obtain, through these imaging investigations, any indicative features of liver cirrhosis. In order to further evaluate the presence of liver cirrhosis, we assessed liver stiffness using two non-invasive methods: Transient Elastography and Real Time Tissue Elastography (RTE). We observed highly suggestive features of liver cirrhosis only through RTE, although its diagnostic accuracy still needs large validation studies. Intraoperative assessment confirmed the diagnosis of liver cirrhosis, changing also the type of surgical approach and patient prognosis.
    Keywords: liver cirrhosis, real-time tissue elastography, uncinate process carcinoma

DOI 10.12865/CHSJ.41.03.12


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Volume 41 Issue 3 2015