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Obstructive Jaundice Due to Von Hippel-Lindau Disease-associated Pancreatic Lesions: A Case Report

Overview
Journal Oncol Lett
Specialty Oncology
Date 2014 Jun 25
PMID 24959293
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Abstract

von Hippel-Lindau (VHL) disease is an autosomal dominantly inherited neoplastic syndrome that may lead to pancreatic masses and obstructive jaundice. The present study describes the case of a 20-year-old male who suffered from obstructive jaundice due to VHL disease-associated pancreatic lesions whose primary symptom was dizziness, followed by the appearance of jaundice. Since the excision of the renal cell carcinomas was not possible, the patient also refused surgery to resect the pancreatic head mass. A metallic stent was placed at the stenosis site of the common bile duct. Percutaneous transhepatic cholangiography (PTCD) surgery was later performed following complete blockage of the stent, however, to date, the patient continues to rely on PTCD. VHL disease-associated pancreatic lesions are rarely the direct cause of mortality, however, obstructive jaundice due to these lesions may be lethal. Therefore, the treatment of patients with incurable renal or central nervous system tumors and obstructive jaundice presents a problem.

References
1.
Tootee A, Hasani-Ranjbar S . Von hippel-lindau disease: a new approach to an old problem. Int J Endocrinol Metab. 2013; 10(4):619-24. PMC: 3693632. DOI: 10.5812/ijem.4510. View

2.
Tamura K, Nishimori I, Ito T, Yamasaki I, Igarashi H, Shuin T . Diagnosis and management of pancreatic neuroendocrine tumor in von Hippel-Lindau disease. World J Gastroenterol. 2010; 16(36):4515-8. PMC: 2945481. DOI: 10.3748/wjg.v16.i36.4515. View

3.
Richard S, Graff J, Lindau J, Resche F . Von Hippel-Lindau disease. Lancet. 2004; 363(9416):1231-4. DOI: 10.1016/S0140-6736(04)15957-6. View

4.
Kim J, Rini B, Hansel D . Von Hippel Lindau syndrome. Adv Exp Med Biol. 2010; 685:228-49. DOI: 10.1007/978-1-4419-6448-9_22. View

5.
Maher E, Neumann H, Richard S . von Hippel-Lindau disease: a clinical and scientific review. Eur J Hum Genet. 2011; 19(6):617-23. PMC: 3110036. DOI: 10.1038/ejhg.2010.175. View