自然破裂による腹腔内出血を呈した退形成性膵管癌（巨細胞型）の１例

DOI Web Site 被引用文献10件 参考文献30件

書誌事項

タイトル別名
  • A Case of Spontaneously Ruptured Anaplastic Carcinoma (Giant Cell Type) of the Pancreas with Intraabdominal Hemorrhage
公開日
2007
DOI
  • 10.5833/jjgs.40.456
公開者
一般社団法人 日本消化器外科学会

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説明

We report a case of spontaneously ruptured anaplastic carcinoma of the pancreas. A 59-year-old man seen for abdominal pain was found in abdominal ultrasonography and computed tomography (CT) to have a tumor of the pancreatic body and multiple metastatic liver tumors. He was admitted due to exacerbated symptoms. Abdominal CT showed a rapidly expanding tumor and marked ascites. Exploratory needle aspiration showed hemorrhagic ascites, necessitating emergency surgery under a diagnosis of intraabdominal hemorrhage. During surgery, we found bleeding from a ruptured tumor and conducted distal pancreatectomy. The pathological diagnosis was anaplastic carcinoma of the pancreas. Despite postoperative chemotherapy, the man died of cancerous cachexia on postoperative day 18. Anaplastic carcinoma thus may cause spontaneous rupture during rapid tumor enlargement.

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