Vol. 1, Issue 1, Part A (2021)

Periampullary carcinoma is usually used to define a heterogeneous group of neoplasms raised on the head of pancreas, duodenum and distal common bile duct. Most of the periampullary growths are adenocarcinomas. Timely diagnosis and successful surgical treatment is totally dependent on first physician. A 60 years old male patient was presented to medical outpatients of Bahawal victoria Hospital Bahawalpur in October 2019 with rare etiology of unexpected vomiting, nausea, fatigue, weight loss and abdominal cramps from 12 days continuously. Abdominal ultrasound revealed hypo-echoic mass with measurement of 2.6x2.7cm on the head of pancrease causing obstruction of distal common bile duct with mild intrahepatic cholestasis. On the basis of physical examination sign & symptoms and lab investigations patient was considered of having periampullary cancer and prompt wipple plan was prepared. Vigilance of physician and support of patient’s family helped to make an early decision of pan creato duo denecto my of the patient before the multi nodulation of tumor hence, increased the life expectancy.