良性膵管狭窄の1例

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  • A CASE OF BENIGN MAIN PANCREATIC DUCTAL STENOSIS TREATED BY DUODENUM PRESERVING PANCREAS HEAD RESECTION

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We report a case benign main pancreatic ducatal stenosis which was difficult to differentiate from a small pancreatic cancer.<br> A 73-year-old woman complaining of chest pain was admitted to our hospital. Abdominal CT scans showed dilatation of the main pancreatic duct. ERP and EUS showed main pancratic ductal stenosis in the pancreas head, and dilatation of the tail portion of the pancreatic duct. However, no pancreatic tumor was detected. Abdominal angiography also preseted no evidence of malignancy. A small pancretic cancer was suspected and duodenum preserving pancreas head resection was performed.<br> The pathological findings revealed pancreatic tissue with fibrosis of the pancreatic duct and without chronic pancreatitis.

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