A case of pancreatic serous cystadenoma with obstructive jaundice
A case of pancreatic serous cystadenoma with obstructive jaundice
复制标题
胰腺浆液性囊腺瘤伴梗阻性黄疸1例
DOI：
10.1046/j.1443-1661.2000.00003.x
复制
发表时间：
2000
影响因子：
5.3
通讯作者：
M. Matsumoto
中科院分区：
文献类型：
--
作者：
T. Maekawa;K. Yabuki;K. Satoh;Yoshihisa Tamasaki;T. Amano;H. Sengoku;K. Ogawa;M. Matsumoto
一名62岁的男性，患有心前区疼痛和发热，咨询了当地医生。验血显示有黄疸。超声检查诊断为急性胆囊炎，并进行经皮胆囊腔内引流。患者被转诊至外科进行手术。通过引流进行的影像学研究显示胆总管下部受压和狭窄。计算机断层扫描显示胰头处直径为2.0 × 2.0 cm的多房结节样低密度区。内视镜逆行性胰胆管造影显示胰头处的主胰管受压及狭窄。血管造影检查显示后胰弓的胰内分支被包裹，位于与胆管压缩性狭窄相同的区域。影像学检查的结果提示胰头癌，并进行了胰管切除术。切除的标本包括一个大小为3.5 × 2.7 × 1.7 cm的肿块，位于胰头。在检查切片时，发现肿块由小的多房囊肿组成。囊肿侵犯胰内胆管。病理诊断为浆液性囊腺瘤。
A 62‐year‐old man with precordial pain and fever consulted a local practitioner. Blood tests revealed jaundice. Acute cholecystitis was diagnosed on ultrasonographic examination, and percutaneous transluminal gall‐bladder drainage was performed. The patient was referred to the Department of Surgery for operation. Imaging studies performed via a drain disclosed compression and stenosis of the lower portion of the common bile duct. A computed tomographic scan showed a multilocular nodule‐like low‐density area measuring 2.0 × 2.0 cm in diameter at the head of the pancreas. Endoscopic retrograde cholangiopancreatography disclosed compression and stenosis of the main pancreatic duct at the head of the pancreas. Angiographic examination revealed encasement of the intrapancreatic branch of the posterior pancreatic arcade, located in the same area as the compression stenosis of the bile duct. The results of imaging studies suggested cancer of the head of the pancreas, and a pancreatoduodenectomy was performed. The resected specimen included a mass measuring 3.5 × 2.7 × 1.7 cm, which was located at the head of the pancreas. On examination of a cut section, the mass was found to consist of small multilocular cysts. The cysts invaded the intrapancreatic bile duct. The histopathological diagnosis was serous cystadenoma.