Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
Your sister seems to suffer from-Ca Pancrease with
Fever from obstructive
cholangitis -The swelling on her ankles is a grave sign of mass compressing IVC behind.Your sister seems to have stage 4 -advanced cancer.
You need to be concerned,about it.
So you need to Consult GI onco- Surgeon,to avoid further complications.
Do's suggested
Get ERCP and
Stent to relieve Cholangitis and jaundice-to reduce fever.
Get Chemo-radiation-to get the IVC compression relieved.
With good response-decompressing and debulking Surgery could be planned in few cases.
Hope this would help you to plan further care of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS