十二指腸乳頭部腫ようの捻転により急性すい炎を繰り返した１症例

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  • A Case Report of Recurrent Acute Pancreatitis Caused by Pedunculated Tumor Torsion at the Duodenal Papilla

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We report a case of recurrent acute pancreatitis caused by pedunculated tumor torsion at the duodenal papilla accompanied by abnormal pancreatic duct confluence. A 72 year-old man seeking emergency treatment for abdominal pain was diagnosed with acute pancreatitis. Upper gastrointestinal endoscopy showedpediculated tumor torsion at the duodenal papilla causing pancreatemphraxis and acute pancreatitis. Symptoms were relived when tumor torsion was released with forceps. Pancreatitis recurred due to same mechanism, however necessitating surgery. The duodenum was incised to extripate the tumor. The pathological tissue diagnosis was paraganglioma.

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