A CASE OF ANOMALOUS ARRANGEMENT OF PANCREATOBILIARY DUCTS ASSOCIATED WITH A CARCIONOMA OF THE PANCREAS HEAD

DOI Web Site 2 Citations 22 References

Bibliographic Information

Other Title
  • 膵管胆管合流異常に膵頭部癌を合併した1例

Search this article

Abstract

A 48-year-old woman was admitted to the hospital because of upper abdominal pain and general iching. Image findings showed a cancer in the head of pancreas associated with anomalous arrangement of the pancreatobiliary duct (IIa type). To decrease jaundice, percutaneous transhepatic gallbladder drainage (PTGBD) was performed. Bile juice amylase count taken by this drainage method was 380IU/L, and bile juice CA19-9 was over 10, 000IU/L. Bile juice cytology by this drainage method showed Class I. Pancreatoduodenectomy with a partial resection of the portal vein was performed. Histopathologically, the resected specimen of the tumor measuring about 5cm in diameter, revealed well-differentiated tubular adenocarcinoma of the pancreas head and regenerative epithelium of the main pancreatic duct with chronic inflammation.<br> There have been few cases of anomalous arrangement of pancreatobiliary ducts associated with a carcinoma of the pancreas head, and no apparent association between both diseases has been proved as yet. It is proposed that probable coexistence of pancreatic carcinoma should be entertained in the treatment of anomalous arrangement of pancreatobiliary duct.

Journal

Citations (2)*help

See more

References(22)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top