A Case of Acute Lymphocytic Leukemia relapsed with Obstructive Jaundice

Koichi Shinoto, Ikuya Oshima, Takamitsu Ariga, Hirohisa Kinoshita, Seiji Yoshimura and Masahiko Ozaki*

Departments of Surgery and Gastroenterology, Yokohama Rosai Hospital*

A 38-year-old woman admitted for jaundice and treated for acute lymphocytic Leukemia was found in abdominal ultrasonography and abdominal computed tomography to have a mass in the pancreas head. Based on her history, we diagnosed intraperitoneal relapse of leukemia and conducted cholecystectomy and lymphadenectomy. Microsopically. The gall bladder was confirmed to have gangrenous cholecystitis and lymph nodes showed the metastasis of leukemia. The woman died about 1 year after sugery due to meningial infiltration.

Key words
leukemia, obstructive jaundice

Reprint requests
Koichi Shinoto Department of Surgery, Yokohama Rosai Hospital
3211 Kozukuecho, Kohokuku, Yokohama, 222-0036 JAPAN

Accepted
November 30, 2004

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