A CASE OF DOUBLE CARCINOMA OF THE BILE DUCT AND PANCREAS ASSOCIATED WITH MIDGUT MALROTATION
スポンサーリンク
概要
- 論文の詳細を見る
This paper describes a case of double carcinoma of the bile duct and pancreas associated with midgut malrotation and thick colateral vein toward the liver due to obstruction of the portal vein by the pancreas cancer. A 68-year-old female was admitted to the hospital because of jaundice. Percutaneous transhepatic cholangiography showed a stenosis 2 cm in diameter in the hepatic hiral bile duct, and percutaneous transhepatic cholangiodrainage was performed. Carcinoma cells were evidenced by the cytology of the bile and bile duct brushing. Endoscopic retrograde cholangiopancreatography revealed on obstruction of the main pancreatic duct in pancreas head. Angiography revealed encasements of the common hepatic artery and splenic artery, an obstruction of the portal vein in the pancreas head, and a thick colateral vein toward the liver along the hepatoduodenal ligament. The operative findings included a hepatic hiral bile duct tumor and carcinoma of the whole pancreas. Resection of the hepatic hiral bile duct and choledochojejunostomy were performed. It is inferred that the thick colateral veins toward the liver along hepatoduodenal ligament developed, because the pancreas head, duodenum and ascending colon were not fixed to the retroperitoneum due to midgut malrotation. Histopathologically the resected bile duct and pancreas showed well differetiated adenocarcinoma which were considered double cancer.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
- REFORT OF TWO CASES OF NON-PARASITIC CYSTS OF THE LIVER:ADVANTAGES OF PERCUTANEOUS TRANSHEPATIC DRAINAGE OF LIVER CYST
- SHALLOW DEPRESSED LESION OF THE STOMACH WITH MASSIVE HEMORRHAGE:5 case reports with a study of Exulceratio simplex (Dieulafoy)
- A case of chronic hepatitis C developing from hepatocellular carcinoma 6 years after elimination of serum HCV RNA by interferon therapy.
- SYNCHRONOUSLY OCCURRED ESOPHAGEAL CANCER AND MULTIPLE GASTRIC CANCERS -A CASE REPORT-
- A CASE OF THE SPLENIC ARTERY ANEURYSM RECONSTRUCTED BY DIRECT ANASTOMOSIS