胆石性胆管炎を契機に診断された十二指腸乳頭部腺腫の1例

  • 石井 剛弘
    自治医科大学附属さいたま医療センター/消化器科
  • 宮谷 博幸
    自治医科大学附属さいたま医療センター/消化器科
  • 中島 嘉之
    さいたま市民医療センター/消化器科
  • 眞嶋 浩聡
    自治医科大学附属さいたま医療センター/消化器科

書誌事項

タイトル別名
  • A Case of duodenal ampullary adenoma with acute gallstone cholangitis

この論文をさがす

抄録

Increasing numbers of cases of duodenal ampullary adenoma have been detected by screening upper endoscopy without any symptom in recent days. Cases of duodenal ampullary adenoma with acute gallstone cholangitis are rare. We experienced a case of 58-year-old male patient who was diagnosed as duodenal ampullary adenoma that was incidentally found by ERCP for acute gallstone cholangitis. There is no case report in Japan in which both endoscopic papillectomy (EP) for ampullary adenoma and endoscopic extraction for bile duct stone were performed. It is reported that recurrence rates after EP for duodenal ampullary adenoma range from 0-33%. Complete resection is important to avoid recurrence. So we decided to perform EP prior to endoscopic extraction. After 12 days from EP for ampullary adenoma, we performed balloon dilating of the bile duct and safely completed endoscopic extraction of the bile duct stone.

収録刊行物

参考文献 (1)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ