Ampullectomy of Carcinoma of the Papilla of Vater in an Elderly Patient without Jaundice
Hiroshima Journal of Medical Sciences Volume 49 Issue 3
Page 139-144
published_at 2000-09
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| File | |
| Title ( eng ) |
Ampullectomy of Carcinoma of the Papilla of Vater in an Elderly Patient without Jaundice
|
| Creator |
Hamazaki Keisuke
Sakai Hironori
Amano Tetsuki
Ichiki Ken
Yamauchi Takayoshi
|
| Source Title |
Hiroshima Journal of Medical Sciences
|
| Volume | 49 |
| Issue | 3 |
| Start Page | 139 |
| End Page | 144 |
| Journal Identifire |
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
|
| Abstract |
A 79 year-old woman was admitted to Aioi City Hospital for a closer examination of hepatic dysfunction. A filling defect was observed at the distal end of the intrapancreatic common bile duct by computed tomography combined with drip infusion cholangiography. The diagnosis of adenoma with dysplasia at the papilla of Vater was obtained by a biosy performed during duodenoscopy. As a result, we performed an ampullectomy. Histologic examination revealed a papillary adenocarcinoma which partly extended just beyond the muscle of Oddi. The patient made an uneventful recovery and was discharged on the 35th postoperative day.
Here, based upon our experience, we discuss such problems as the accuracy of preoperative diagnosis and the indications for ampullectomy. |
| Keywords |
Periampullary cancer
Ampullectomy
Pancreatoduodenectomy
|
| NDC |
Medical sciences [ 490 ]
|
| Language |
eng
|
| Resource Type | departmental bulletin paper |
| Publisher |
Hiroshima University Medical Press
|
| Date of Issued | 2000-09 |
| Publish Type | Version of Record |
| Access Rights | open access |
| Source Identifier |
[ISSN] 0018-2052
[NCID] AA00664312
|
