关键词: ampullaofVater heterotopicpancreas obstructivejaundice

Mesh : Humans Ampulla of Vater / surgery Jaundice, Obstructive / etiology surgery diagnosis Choristoma / complications surgery diagnosis Pancreaticoduodenectomy / methods Middle Aged Pancreas Treatment Outcome Diagnosis, Differential Male Common Bile Duct Diseases / surgery diagnosis complications

来  源:   DOI:10.21614/chirurgia.119.eC.3001

Abstract:
Heterotopic pancreas is a rare congenital abnormality. The most common location is the stomach, duodenum and proximal jejunum. Rare locations are represented by the ampulla of Vater, esophagus, ileum, Meckel diverticulum, biliary tract, mesentery and spleen. We present the case of a 49 year old patient investigated for obstructive jaundice and diagnosed with an ampullar heterotopy of pancreas parenchyma, initially considered to be a malignant tumor. A Whipple pancreatoduodenectomy was performed with good postoperative evolution, the serum levels of bilirubin being normal after the first postoperative week.
摘要:
异位胰腺是一种罕见的先天性异常。最常见的位置是胃,十二指肠和近端空肠。罕见的地点以Vater壶腹为代表,食道,回肠,Meckel憩室,胆道,肠系膜和脾脏.我们介绍了一名49岁的患者,该患者接受了阻塞性黄疸的调查,并被诊断为胰腺实质的壶腹异位,最初被认为是恶性肿瘤。进行了Whipple胰十二指肠切除术,术后进展良好,术后第一周血清胆红素水平正常。
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