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ID 37716
file
creator
Hamazaki, Keisuke
Sakai, Hironori
Amano, Tetsuki
Ichiki, Ken
Yamauchi, Takayoshi
subject
Periampullary cancer
Ampullectomy
Pancreatoduodenectomy
NDC
Medical sciences
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.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 49
issue
Issue 3
start page
139
end page
144
date of issued
2000-09
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Biomedical Science
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