比較的長い共通管を有し,胆汁中アミラーゼが高値を呈した胆嚢腺筋腫症の1例

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  • A CASE OF GALLBLADDER ADENOMYOMATOSIS WITH MARKED AMYLAZE LEVELS IN BILE WHICH HAD HIGH CONFLUENCE OF PANCREATICOBILIARY DUCTS

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A 43-year old woman was referred to our hospital because of epigastralgia. On abdominal examination, gallbladder adenomyomatosis was suspected with marked wall thickneing. We found high confluence of pancreaticobiliary ducts at FRCP, and it showed high amylase levels of the bile in the gallbladder and in the bile duct. Pathological examination revealed that it was adenomyomatosis with hyperplasia of endemic epithelium. The Ki-67L1 was increased to 39.4%. It is suggested that the gallbladder with high confluence of pancreaticobiliary ducts has a high potential of carcinoma.

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