術前に小腸造影で腫瘤として診断した回腸異所性膵の１例

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  • ECTOPIC PANCREAS OF THE ILEUM, IDENTIFIED AS TUMOROUS BY PREOPERATIVE ENTEOCLYSIS-A CASE REPORT-

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The case was a 50-year-old woman. She was hospitalized with the chief complaint of bloody bowel discharge on January 20, 2005. The bloody bowel discharge was alleviated on the next day. We suspected hemorrhage from the lower digestive tract and performed colonoscopic examination, but the hemorrhage source was not clear. We let her start a meal, but we suspected a small intestinal lesion and performed radiological enteroclysis because she produced bloody bowel discharge again. A polypoid lesion of about 20mm in diameter was found in the ileum and diagnosed as ileal tumor. There were no abnormal findings on upper gastrointestinal tract endoscopy, abdominal CT, and abdominal angiography examination. We performed an operation on February 18. Because the mass could be left palpating in the ileum of about 120cm oral side from the terminal ileum, we performed partial excision of the ileum. By a pathological study, it was diagnosed as ectopic pancreas of Heinlich type III. The postoperative course was good and there has been no recurrence of bloody bowel discharge for one year post operation.

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