Academic Journal
Invaginated ampulla of Vater in synchronous malignant intraductal papillary mucinous neoplasm of the pancreas and common bile duct cancer
| العنوان: | Invaginated ampulla of Vater in synchronous malignant intraductal papillary mucinous neoplasm of the pancreas and common bile duct cancer |
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| المساهمون: | J. W. Han, S. I. Jang, D. W. Ma, S. O. Yoon, D. K. Lee, Lee, Dong Ki, Jang, Sung Ill, Han, Jung Woo |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Adenocarcinoma/pathology, Adenocarcinoma, Mucinous/pathology, Ampulla of Vater/pathology, Carcinoma, Pancreatic Ductal/pathology, Papillary/pathology, Cholangiopancreatography, Endoscopic Retrograde, Common Bile Duct Neoplasms/pathology, Female, Humans, Middle Aged, Neoplasms, Multiple Primary/pathology, Pancreatic Neoplasms/pathology |
| الوصف: | A 61-year-old woman was admitted for upper abdominal pain and fever. Laboratory findings showed raised neutrophil ratio and amylase and lipase levels. Abdominal computed tomography (CT) scan revealed diffuse swelling of the pancreas with peripancreatic fluid, and mild dilatation of the mid-pancreatic duct. Endoscopic retrograde cholangiopancreatography (ERCP) showed dimpling of the ampullary orifice ([Fig.��1]). We inserted an endoscopic retrograde pancreatic drain (ERPD) via a guide wire. A pancreatogram showed pancreatic duct dilatation and deformity ([Fig.��2]) and due to stricture of the pancreatic duct orifice, the ERPD required repositioning. During removal of the ERPD for repositioning, the ampullary orifice, which was invaginated, protruded into the duodenal lumen ([Fig.��3]). A biopsy specimen was taken from the invaginated ampullary orifice, and confirmed to be adenocarcinoma. The patient underwent pylorus-preserving pancreaticoduodenectomy. The postoperative pathology report confirmed the diagnosis of a double primary tumor: the first tumor being a malignant intraductal papillary mucinous neoplasm (IPMN) of the pancreas and the other an adenocarcinoma of the common bile duct (CBD). Histologic exam documented anomalous union of pancreaticobiliary duct with short segment common channel and separated incidental IPMN of main duct in pancreas head. Protruded mass of ampulla of Vater was confirmed as CBD originated. ; open |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| تدمد: | 0013-726X 1438-8812 |
| Relation: | ENDOSCOPY; J00776; OAK-2013-01836; https://ir.ymlib.yonsei.ac.kr/handle/22282913/87953; T201303286; ENDOSCOPY, Vol.45(s02) : 25-26, 2013 |
| DOI: | 10.1055/s-0032-1326106 |
| الاتاحة: | https://ir.ymlib.yonsei.ac.kr/handle/22282913/87953 https://doi.org/10.1055/s-0032-1326106 https://www.thieme-connect.com/DOI/DOI?10.1055/s-0032-1326106 |
| Rights: | CC BY-NC-ND 2.0 KR ; https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ ; not free |
| رقم الانضمام: | edsbas.8381F573 |
| قاعدة البيانات: | BASE |
| تدمد: | 0013726X 14388812 |
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| DOI: | 10.1055/s-0032-1326106 |