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Indian Journal of Surgical Nursing

Volume  1, Issue 3, Sept - Dec 2012, Pages 97-108
 

Case Report

Case Presentation on Klatskin,s Tumour

Leena J.

Associate Professor, PSG College of Nursing, Coimbatore-641004, Tamilnadu, South India.

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Abstract

This is a case presentation on Klatskin’s tumour. He is aged 47 admitted to Gastroenterology ward with the complaints of progressive abdominal distention over a period of one month, with pain in right upper quadrant. His abdominal girth confirmed distention due to ascites and thrill on ballottement. He had hypoalbuminemia in diuretic stage but his Serum Protein levels were within normal limits. He had stent fixation markings and scar due to radiation therapy on his abdomen. His Alkaline Phosphatase indicated an obstruction of biliary system. Paracentesis confirmed infection. He was diagnosed as Hilar Cholangio Carcinoma i.e., Klatskin’s Tumor with Stenting and Post Radiation Therapy with Reactive Mesothelial Proliferation. He was found to have Liver Secondaries (Unresectable Tumor) since the growth extended to the under surface of the liver. ERCP was attempted twice and precut was extended. Liver enzymes were given along with symptomatic treatment. His activities were gradually increased as he could tolerate. The case presentation is extended with the application of nursing process as well. 

Key words: Klatskin’s tumor, Paracentesis; Stent; As cites. 


Corresponding Author : Leena J.