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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">MD-Onco</journal-id><journal-title-group><journal-title xml:lang="en">MD-Onco</journal-title><trans-title-group xml:lang="ru"><trans-title>MD-Onco</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2782-3202</issn><issn publication-format="electronic">2782-6171</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">57</article-id><article-id pub-id-type="doi">10.17650/2782-3202-2022-2-4-63-70</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>RARE AND COMPLEX CLINICAL SITUATIONS: DIAGNOSIS AND SELECTION OF TREATMENT TACTICS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>РЕДКИЕ И СЛОЖНЫЕ КЛИНИЧЕСКИЕ СИТУАЦИИ: ДИАГНОСТИКА И ВЫБОР ТАКТИКИ ЛЕЧЕНИЯ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">A rare cause of mechanical jaundice. Clinical case</article-title><trans-title-group xml:lang="ru"><trans-title>Редкая причина развития механической желтухи. Клиническое наблюдение</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1345-041X</contrib-id><name-alternatives><name xml:lang="en"><surname>Iurichev</surname><given-names>I. N.</given-names></name><name xml:lang="ru"><surname>Юричев</surname><given-names>И. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Ilia N. Iurichev.</p><p>111 1<sup>st</sup> Uspenskoe Shosse, Lapino, Moscow region 143081</p></bio><bio xml:lang="ru"><p>Юричев Илья Николаевич.</p><p>143081 Московская обл., д. Лапино, 1-е Успенское шоссе, 111</p></bio><email>ilia-yurichev@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6850-6919</contrib-id><name-alternatives><name xml:lang="en"><surname>Vereshchak</surname><given-names>V. V.</given-names></name><name xml:lang="ru"><surname>Верещак</surname><given-names>В. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>111 1<sup>st</sup> Uspenskoe Shosse, Lapino, Moscow region 143081</p></bio><bio xml:lang="ru"><p>143081 Московская обл., д. Лапино, 1-е Успенское шоссе, 111</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Platitsyn</surname><given-names>I. V.</given-names></name><name xml:lang="ru"><surname>Платицын</surname><given-names>И. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>111 1<sup>st</sup> Uspenskoe Shosse, Lapino, Moscow region 143081</p></bio><bio xml:lang="ru"><p>143081 Московская обл., д. Лапино, 1-е Успенское шоссе, 111</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Clinical Hospital “Lapino” of the “Mother and Child” Group of companies</institution></aff><aff><institution xml:lang="ru">Клинический госпиталь «Лапино» группы компаний «Мать и Дитя»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2022-12-14" publication-format="electronic"><day>14</day><month>12</month><year>2022</year></pub-date><volume>2</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>63</fpage><lpage>70</lpage><history><date date-type="received" iso-8601-date="2022-12-14"><day>14</day><month>12</month><year>2022</year></date><date date-type="accepted" iso-8601-date="2022-12-14"><day>14</day><month>12</month><year>2022</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2022, ABV-Press</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2022, АБВ-пресс</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="en">ABV-Press</copyright-holder><copyright-holder xml:lang="ru">АБВ-пресс</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://mdonco.abvpress.ru/jour/about/editorialPolicies</ali:license_ref></license></permissions><self-uri xlink:href="https://mdonco.abvpress.ru/jour/article/view/57">https://mdonco.abvpress.ru/jour/article/view/57</self-uri><abstract xml:lang="en"><p>Causes of mechanical jaundice are extremely varied and can be either malignant or benign. The main causes of malignant nature are cholangiocarcinoma and pancreatic ductal adenocarcinoma, while common benign causes of obstructive mechanical jaundice are choledocholithiasis and chronic pancreatitis. Rarer causes of this severe complication are not extensively described in literature.</p></abstract><trans-abstract xml:lang="ru"><p>Причины механической желтухи крайне разнообразны и могут быть как злокачественного, так и доброкачественного характера. К основным причинам злокачественной природы относят холангиокарциному и протоковую аденокарциному поджелудочной железы, в то время как часто встречающимися доброкачественными причинами развития обструктивной механической желтухи являются холедохолитиаз и хронический панкреатит. Более редкие причины развития такого тяжелого осложнения мало освещены в литературе.</p></trans-abstract><kwd-group xml:lang="en"><kwd>obstructive mechanical jaundice</kwd><kwd>endoscopic biliary stent</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>обструктивная механическая желтуха</kwd><kwd>эндоскопическое стентирование желчных протоков</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Altman A., Zangan S.M. Benign biliary strictures. Semin Intervent Radiol 2016;33(4):297-306. DOI: 10.1055/s-0036-1592325</mixed-citation></ref><ref id="B2"><label>2.</label><citation-alternatives><mixed-citation xml:lang="en">Manual of biliary tract surgery. 2nd edn. Ed. by E.I. Galperin, P.S. Vetshev. Moscow: Vidar, 2009. 568 p.</mixed-citation><mixed-citation xml:lang="ru">Руководство по хирургии желчных путей. 2-е изд. Под ред. Э.И. Гальперина, П.С. Ветшева. 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