c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Multiple Endocrine Neoplasia I with Pancreatic Tumors: 34

A D V E R T I S E M E N T

   
 

An attempt at enucleating the body lesion was made but was abandoned when it was evident that the lesion would not shell out easily like a typical pancreatic adenoma. The proximity of the vessels on the deep side of the lesion and the probability of injuring the pancreatic duct were factored into the decision.      

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Multiple Endocrine Neoplasia I with Pancreatic Tumors: 35

A D V E R T I S E M E N T

   
 

The splenic vein just distal to the junction of the inferior mesenteric vein was encircled with a vessel loop in preparation for mobilizing the body of the pancreas.       

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Multiple Endocrine Neoplasia I with Pancreatic Tumors: 36

A D V E R T I S E M E N T

   
 

Venous control was achieved by vessel loops around splenic and superior mesenteric veins. The hepatoduodenal ligament was dissected free so that the portal vein could be easily controlled by a Pringle maneuver. Inferior mesenteric vein was clearly visible for compression if necessary.      

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This page was last modified on 2/9/2000.