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Cholecystocutaneous Fistula as a First Sign of Presentation of a Gallbladder Adenocarcinoma

✍ Scribed by Ugalde Serrano, Paúl; Solar García, Lorena; Miyar de León, Alberto; González-Pinto Arrillaga, Ignacio; González González, Juan

Book ID
122137069
Publisher
Elsevier
Year
2013
Weight
477 KB
Volume
91
Category
Article
ISSN
2173-5077

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Plantar keratoderma as a presenting sign
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✍ Jose Luis Ulla; Ignacio Garcia-Doval; Celia Posada; Santiago Soto; Carlos Alvare 📂 Article 📅 2008 🏛 John Wiley and Sons 🌐 English ⚖ 133 KB

## Abstract A 76‐year‐old woman presented with a 1‐year history of back pain and sudden onset of plantar keratoderma. Her serum carbohydrate antigen (CA 19.9) levels were elevated. Endoscopic radial sonographic examination led to the diagnosis of pancreatic adenocarcinoma, in a stage not detectable