膵管非癒合を伴う早期十二指腸乳頭部癌の1例

土屋 典子; 西野 隆義; 土岐 文武; 小山 祐康; 久田 生子; 春山 航一; 唐沢 英偉; 村田 洋子; 白鳥 敬子; 渡辺 伸一郎; 大原 敏哉; 山本 雅一; 高崎 健; 鈴木 茂; 林 直諒

doi:10.11641/pde.58.2_100

Case report

A Case of Pancreas Divisum Concomitant with Early Carcinoma of Papilla of Vater

Noriko Tsuchiya, Takayoshi Nishino, Fumitake Toki, Hiroyasu Oyama, Syoko Hisada, Koichi Haruyama, Eii Karasawa, Yoko Murata, Keiko Shiratori, Shin-ichiro Watanabe, Toshiya Ohara, Masakazu Yamamoto, Takeshi Takasaki, Shigeru Suzuki, Naoaki Hayashi

Author information

Noriko Tsuchiya
Tokyo Women's Medical University Institute of Gastroenterology
Takayoshi Nishino
Tokyo Women's Medical University Institute of Gastroenterology
Fumitake Toki
Tokyo Women's Medical University Institute of Gastroenterology
Hiroyasu Oyama
Tokyo Women's Medical University Institute of Gastroenterology
Syoko Hisada
Tokyo Women's Medical University Institute of Gastroenterology
Koichi Haruyama
Tokyo Women's Medical University Institute of Gastroenterology
Eii Karasawa
Tokyo Women's Medical University Institute of Gastroenterology
Yoko Murata
Tokyo Women's Medical University Institute of Gastroenterology
Keiko Shiratori
Tokyo Women's Medical University Institute of Gastroenterology
Shin-ichiro Watanabe
Tokyo Women's Medical University Institute of Gastroenterology
Toshiya Ohara
Tokyo Women's Medical University Institute of Gastroenterology
Masakazu Yamamoto
Tokyo Women's Medical University Institute of Gastroenterology
Takeshi Takasaki
Tokyo Women's Medical University Institute of Gastroenterology
Shigeru Suzuki
Tokyo Women's Medical University Institute of Gastroenterology
Naoaki Hayashi
Tokyo Women's Medical University Institute of Gastroenterology

JOURNAL FREE ACCESS

2001 Volume 58 Issue 2 Pages 100-101

DOI https://njjn-jsjc-gov-cn-s-1416.res.gxlib.org.cn:443/rwt/1416/https/MSYXTLUQPJUB/10.11641/pde.58.2_100

Details

Abstract

A 65-year-old female complaining of epigastric pain was admitted to our hospital. Laboratory data showed the elevation of biliary and pancreatic enzymes. The swelling and redness of papilla of Vater was observed by duodenoscope. The biopsy examination revealed adenocarcinoma. ERCP showed pancreas divisum, and the ventral pancreatic duct was dialated. EUS and IDUS showed a hypoechoic mass of about 20 mm diameter at the papilla of Vater, and the invasion into the pancreatic duct could not be excluded.
Surgical material revealed papillary adenocarcinoma of 25mm in size showing no invasion into duodenum and pancreas. The surgical stage was stage I. We reviwed 6 cases of pancreas divisum concomitant with carcinoma of papilla of Vater in Japanese literature.

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