A CASE OF ADENOCARCINOMA IN THE ACCESSORY DUCT OF THE PANCREAS ACCOMPANIED BY PANCREATIC DIVISUM
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- FUJIMOTO Takehide
- Department of Medicine, Shiga University of Medical Science.
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- INATOMI Osamu
- Department of Medicine, Shiga University of Medical Science.
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- TAKEDA Yoshiya
- Department of Medicine, Shiga University of Medical Science.
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- KIMURA Hidenori
- Department of Endoscopy, Shiga University of Medical Science.
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- SHINTANI Shuhei
- Department of Medicine, Shiga University of Medical Science.
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- INOUE Hiroto
- Department of Medicine, Shiga University of Medical Science.
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- MATSUMOTO Hiroshi
- Department of Medicine, Shiga University of Medical Science.
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- NISHIDA Atsushi
- Department of Medicine, Shiga University of Medical Science.
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- BAMBA Shigeki
- Department of Endoscopy, Shiga University of Medical Science.
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- ANDOH Akira
- Department of Medicine, Shiga University of Medical Science.
Bibliographic Information
- Other Title
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- 膵管癒合不全を背景に発生した副膵管領域膵頭部癌の１例
Abstract
<p>A 66-year-old man visited our hospital due to pancreatic duct dilatation. Magnetic resonance cholangiopancreatography showed dilatation of the main pancreatic duct. ERCP showed the absence of a connection with the main pancreatic duct on ventral pancreatography from the main papilla. Dorsal pancreatography from the accessory papilla showed localized stenosis of the accessory duct at the pancreatic head and main pancreatic duct dilation. Moreover, EUS showed an 11-mm hypoechoic mass in the region of the accessory pancreatic duct. The mass was hypovascular in the early phase of Sonazoid contrast. As pancreatic head cancer complicated by pancreatic divisum was suspected, subtotal stomach-preserving pancreaticoduodenectomy was performed. The pathological diagnosis was pancreatic cancer in the region of the accessory pancreatic duct. In this case, pancreatic cancer could be diagnosed at an early stage because the pancreatic duct dilatation occurred at an early stage. This was due to decreased pancreatic juice drainage from the main pancreatic duct caused by the pancreas divisum.</p>
Journal
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- GASTROENTEROLOGICAL ENDOSCOPY
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GASTROENTEROLOGICAL ENDOSCOPY 66 (4), 422-427, 2024
Japan Gastroenterological Endoscopy Society
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Details 詳細情報について
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- CRID
- 1390299903955999360
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- ISSN
- 18845738
- 03871207
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed