膵胆管分離開口に合併したＶａｔｅｒ乳頭部癌の１手術例

• 玉森 豊

  大阪市立大学大学院腫瘍外科

• 西野 裕二

  大阪市立大学大学院腫瘍外科

• 西口 幸雄

  大阪市立大学大学院腫瘍外科

• 山田 靖哉

  大阪市立大学大学院腫瘍外科

• 李 龍彦

  大阪市立大学大学院腫瘍外科

• 平川 弘聖

  大阪市立大学大学院腫瘍外科

書誌事項

タイトル別名

• A CASE OF PAPILLA OF VATER CANCER WITH SEPARATED ORIFICES OF COMMON BILE DUCT AND MAIN PANCREATIC DUCT

抄録

A case of papilla of Vater cancer with separated orifices of common bile duct and main pancreatic duct is reported. The patient was a 67-year-old female. She consulted the hospital with severe abdominal pain and nausea. Because of increase in neutrophils and serum pancreatic enzymes, and swelling of the pancreas revealed by ultrasonography and computed tomography, we diagnosed the case as acute pancreatitis. We found separated orifices of the common bile duct and main pancreatic duct during the procedure of ERCP, and we also detected the proliferation of mucosa on the papillae. Papillary adenocarcinoma as diagnosed by histological examination of a biopsy specimen. Pyrolus-preserving pancreatico-duodenectomy was performed. A tumor was localized in the mucosa of papilla Vater and completely resected. Separated orifices are one of the variations and there are few problems in clinical cases because there are no symptoms. In this case, we derected the problem in the course of treating pancreatitis due to papilla of Vater cancer.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 67 (11), 2613-2616, 2006

  日本臨床外科学会

キーワード

• 膵胆管分離開口
• Vater乳頭部癌

詳細情報

• CRID: 1390001204848876544
• NII論文ID: 130003604785
• NII論文ID: 10018653663
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.2613
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/11/67_11_2613/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007106393
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可