［症例報告］門脈走行異常を伴う十二指腸乳頭部癌の1切除例

概要

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A 70-year-old woman was admitted to our hospital for fever and jaundice as a chief complaint. Cancer of the duodenal papilla was diagnosed, but preoperative CT of the abdomen revealed an anatomically abnormal configuration of the main pancreatic duct, which coursed along the dorsal side of the portal vein. Intraoperative exploration showed that the portal vein penetrated the pancreatic head and that there were two pancreatic ducts, one located on the ventral side of the portal vein, and the other on the dorsal side. Pyloruspreserving pancreatoduodenectomy (Imanaga method) was performed, and pancreatojejunostomy was performed by suturing each pancreatic duct to the jejunal mucosa. After the operation, the cancer was pathologically diagnosed as moderately differentiated adenocarcmoma, and the overall degree of progression was Stage I. The postoperative course was favorable, without complications, and the patient was discharged from the hospital 35 days after the operation. At present, the patient's condition is stable.
琉球医学会,Ryukyu Medical Associationの論文