A Case of Pancreatic Serous Cystadenoma Penetrating Bile Duct Requiring Differentiation from Malignancy.

Q3 Medicine Tokai Journal of Experimental and Clinical Medicine Pub Date : 2024-12-20
Yoshihiro Shirataki, Masashi Morimachi, Tsubomi Cho, Ayano Ito, Aya Kawanishi, Hiroyuki Ito, Hideki Izumi, Tomoko Sugiyama, Takuma Tajiri, Tatehiro Kagawa
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Abstract

A 67-year-old man was admitted to our hospital with jaundice. A closer examination revealed that he had obstructive jaundice due to bile duct obstruction caused by a multifocal cystic tumor of the pancreas. Endoscopic retrograde cholangiopancreatography (ERCP) revealed stenosis of the distal bile duct and leakage of contrast medium into the pancreatic cyst. Pancreaticoduodenectomy was performed, and a pinhole fistula was found connecting the cyst and the bile duct. Histological examination led to the diagnosis of serous cystadenoma (SCA). Herein, we report a rare case of SCA with obstructive jaundice and penetration of the bile duct, which was treated by radical resection.

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一例胰腺浆液性囊腺瘤穿透胆管,需要与恶性肿瘤鉴别。
一名 67 岁的男子因黄疸入院。仔细检查后发现,他患有阻塞性黄疸,原因是胰腺多灶性囊肿导致胆管阻塞。内镜逆行胰胆管造影术(ERCP)显示远端胆管狭窄,造影剂渗入胰腺囊肿。患者接受了胰十二指肠切除术,并发现了连接囊肿和胆管的针孔瘘。经组织学检查,诊断为浆液性囊腺瘤(SCA)。在此,我们报告了一例罕见的伴有梗阻性黄疸和胆管穿透的浆液性囊腺瘤病例,患者接受了根治性切除术。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
32
期刊介绍: The Tokai Journal of Experimental and Clinical Medicine, also referred to as Tokai Journal, is an official quarterly publication of the Tokai Medical Association. Tokai Journal publishes original articles that deal with issues of clinical, experimental, socioeconomic, cultural and/or historical importance to medical science and related fields. Manuscripts may be submitted as full-length Original Articles or Brief Communications. Tokai Journal also publishes reviews and symposium proceedings. Articles accepted for publication in Tokai Journal cannot be reproduced elsewhere without written permission from the Tokai Medical Association. In addition, Tokai Journal will not be held responsible for the opinions of the authors expressed in the published articles.
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