総胆管の腺腫性ポリープを伴った家族性大腸腺腫症の一例

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  • A CASE REPORT OF FAMILIAL POLYPOSIS COLI WITE THE ADENOMATOUS POLYP OF THE COMMON BILE DUCT

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A 25 year old female, diagnosed as Gardner's syndrome and had received an operation of subtotal colectomy in 1977, was readmitted to our hospital, complaining of right hypo-chondralgia and epigastralgia with elevated serum amylase levels. The endoscopic retrograde cholangiopancreatography showed the filling defect in the distal end of common bile duct. The papilla of Vater was slightly enlarged and a portion of tumor surface was observed through the orifice of common bile duct. The endoscopic papillotomy was performed for preventing the obstruction of the common bile duct due to the growth of the tumor. The endoscopic biopsy study after sphincterotomy succeeded in confirming the adenomatous polyp of common bile duct.

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