Intra-ampullary Adenocarcinoma Presenting as Recurrent Pancreatitis / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
;
: 163-167, 2016.
Article
Dans Coréen
| WPRIM
| ID: wpr-125495
ABSTRACT
Advances in imaging modalities have provided useful information in diagnosing ampullary lesions such as adenoma and adenocarcinoma. Endoscopic retrograde cholangiopancreaticography (ERCP) have a role in the diagnosis of unexposed intra-ampullarylesion. We report an interesting case of adenocarinoma of the ampulla of Vater presenting as idiopathic recurrent pancreatitis. A 56 years old woman was referred due to idiopathic recurrent pancreatitis for 2 years. She presented abdominal pain and upper abdominal tenderness. Magnetic resonance cholangiopancreaticography (MRCP) revealed minimal bile and pancreatic ductal dilatation without obstruction. Subsequent ERCP revealed a small polypoid lesion which was exposed after endoscopic sphincterotomy. Endoscopic biopsy showed papillary adenoma with low grade dysplasia. Additional endoscopic papillectomy was performed. Endoscopic biopsy done 3 months later showed papillary adenoma with high grade dysplasia. Pylorus preserving pancreatoduodenectomy was done and final pathology was well differentiated adenocarcinoma. The patient was recovered well but received adjuvant chemotherapy due to metastatic lymph nodes.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Conduits pancréatiques
/
Pancréatite
/
Anatomopathologie
/
Pylore
/
Ampoule hépatopancréatique
/
Bile
/
Biopsie
/
Adénocarcinome
/
Adénomes
/
Douleur abdominale
Type d'étude:
Etude diagnostique
Limites du sujet:
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Pancreas and Biliary Tract
Année:
2016
Type:
Article
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