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Surgery Pancreas 9351841b

A 55-year-old male presents with features of obstructive jaundice. He also reports a weight loss of seven kilograms in last two months. On CT scan, the CBD is dilated till the lower end and the main pancreatic duct is also dilated. Pancreas is normal. The most likely diagnosis is:

A
Choledocholithiasis
B
Carcinoma gallbladder
C
Hilar cholangiocarcinoma
D
Periampullary carcinoma
High-Yield Explanation
Ans. (d) Periampullary carcinoma* Periampullary cancer presents with dilatation of both Pancreatic and Bile ducts.* Of the sites of cancer in Pancreas - Periampullary cancer has better prognosis than Head of pancreas cancer because of early presentation.

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