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Trismus as the first manifestation of cholangiocarcinoma

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Trismus as the first manifestation of cholangiocarcinoma

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dc.contributor.author Patrocinio, Lucas G. es
dc.contributor.author Patrocinio, Tomas G. es
dc.contributor.author Pacheco, Leonardo F. es
dc.contributor.author Patrocinio, José A. es
dc.date.accessioned 2017-09-26T18:03:43Z
dc.date.available 2017-09-26T18:03:43Z
dc.date.issued 2008 es
dc.identifier.citation Patrocinio, Lucas G. ; Patrocinio, Tomas G. ; Pacheco, Leonardo F. ; Patrocinio, José A.. Trismus as the first manifestation of cholangiocarcinoma. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 13 9 2008: 9- es
dc.identifier.uri http://hdl.handle.net/10550/61110
dc.description.abstract The initial presentation of a cholangiocarcinoma (CC) as trismus due to metastasis to the parotid gland is extremely rare and no previous reports have been found in the literature. A 29-year-old woman presented trismus that initiated 2 months before admission, just after superior left third molar extraction. Physical examination revealed severe trismus and a mass in the parotid gland. Computed tomography (CT) showed a heterogeneous mass in the left parotid gland. The next day she presented jaundice, bilirubinuria, and fever, followed by massive bleeding, intravascular disseminated coagulation, and respiratory insufficiency. Two days later she died. At autopsy, the parotid tumor was identified as a metastasis from a CC of the extrabiliary tract. To our knowledge, this is the first reported case of a metastatic CC that initially presented as trismus due to a mass in the parotid gland. This case represents a rare but important diagnosis that otolaryngologists and oral surgeons should add to the catalog of uncommon causes of trismus. es
dc.title Trismus as the first manifestation of cholangiocarcinoma es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi es
dc.type.hasVersion VoR es_ES

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