Fatty Replacement of the Pancreatic Body and Tail Associated with Pancreatico-biliary Maljunction—A Case Report—

DOI Web Site Web Site 4 References
  • MIZUNO Hitoshi
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital
  • HATANAKA Nobutaka
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital
  • MORIMOTO Yoshikazu
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital
  • HIRAO Takahumi
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital
  • YAMASAKI Yoshio
    Department of Surgery, Japan Community Healthcare Organization (JCHO) Osaka Hospital

Bibliographic Information

Other Title
  • 膵体尾部脂肪置換を伴った膵胆管合流異常の1例
  • 症例 膵体尾部脂肪置換を伴った膵胆管合流異常の1例
  • ショウレイ スイタイ ビブ シボウ チカン オ トモナッタ スイタンカン ゴウリュウ イジョウ ノ 1レイ
  • Fatty Replacement of the Pancreatic Body and Tail Associated with Pancreatico-biliary Maljunction—A Case Report—

Search this article

Abstract

A 44-year-old man was referred to our hospital complaining of right hypochondralgia in June 2007. He had been diagnosed as to have cholelithiasis at a neighboring hospital since 2003, but he was asymptomatic. Laboratory data showed mild endocrine and exocrine dysfunction of the pancreas, though hepatic and biliary enzymes and tumor markers were in normal ranges. Imaging examinations (CT, MRI, ERCP and angiography) showed gallbladder, common bile duct and pancreatic stones, accompanied by pancreaticobiliary maljunction, and visualized a tumor image with stricture at the inferior bile duct. MRI showed the fatty replacement of the pancreatic body and tail. Angiography visualized the dorsal pancreatic artery. Laparotomy was performed with a suspicion of an intraductal tumor at the distal common bile duct (CBD). Intraoperative cholangioscopy and histological examination showed no malignancy. The CBD stones and pancreatic stones were removed without performing pancreatic resection. Choledochojejunostomy and pancreatic duct drainage were performed following CBD resection. Endocrine and exocrine functions of the pancreas were restored after the operation. The patient has been free from abdominal symptoms as of 8 years after the operation.

Journal

References(4)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top