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James had drainage of a pancreatic cyst August 1990.Subsequent follow-up
showed no recurrence. In April 1997 he experienced left shoulder pain and
weight loss. Blood tests showed no abnormalities in pancreatic enzymes.
Weight loss continued, pain gradually became worse. Seen privately inJuly by
orthopaedic surgeon as suspected frozen shoulder due to work as
hairdresser.Chest and shoulder X-ray clear. Injected shoulder with
anti-inflammatory agent and told to rest. Bone scan ordered at my insistence.
Went on holiday for a week, symptoms became acute. On return bone scan
performed.Two days later in agony so went to hospital, where a frozen
shoulder was diagnosed but at my insistence admitted for further tests. Mass
felt in pancreatic area. Scan next day revealed a mass with liver
secondaries, spinal and bone secondaries. Prognosis of ? liver cancer and
three weeks to live.
Theatre for drainage of large fluid mass in abdomen showed a pancreatic cyst,
biopsies taken from liver but nothing found.
Weight loss continued, morphine given for pain.Tissue samples sent had to go
to a specialist area in another hospital. Diagnosis neuro-endocrine tumour of
Drain releasing cystic fluid fell out. Too weak for immediate surgery so a
central line to deliver nutrition inserted. Large abdominal distension and
severe pain continued. The leaking pancreatic fluid tracked down, penis and
testicles became gangrenous. To theatre where abdomen opened and cleaned,
genitalia debrided and cleaned. Abdomilnal wound left open to drain fluid.
James was very anaemic as blood was draining in abdominal wound. transfusions
commenced but James had a heart attack and died.Three weeks from diagnosis to
death. James was 39 and left behind a wife and 2 small children aged 4 and 5.
Posted 03/30/2001 06:27 pm by Jill
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