Tsunoda T, Eto T, Yamada M, Oshibuchi H, Fujioka H, Tajima Y, Tsuchiya R
Second Department of Surgery, Nagaski University School of Medicine, Japan.
Jpn J Surg. 1990 Mar;20(2):217-20. doi: 10.1007/BF02470772.
A case of a 77 year old woman with a heterotopic pancreas in the distal common bile duct is reported herein. The patient had no symptoms, but an ultrasound examination showed bile duct dilatation and subsequent endoscopic retrograde cholangiography demonstrated a spherical filling defect in the distal common bile duct. Under suspicion of a benign neoplasm in the common bile duct, resection of the common bile duct and hepaticojejunostomy using a Roux-en Y jejunal limb were successfully performed. Pathological examination revealed heterotopic pancreatic tissue in the distal common bile duct. This is only the ninth reported case of heterotopic pancreas occurring in the common bile duct or ampulla of Vater, and thus, a review of the literature is also given.
本文报告了一例77岁女性患者，其胆总管远端存在异位胰腺。患者无症状，但超声检查显示胆管扩张，随后的内镜逆行胆管造影显示胆总管远端有一个球形充盈缺损。怀疑胆总管存在良性肿瘤，成功实施了胆总管切除术及使用Roux-en Y空肠袢的肝空肠吻合术。病理检查发现胆总管远端存在异位胰腺组织。这是文献报道的仅第九例发生在胆总管或Vater壶腹的异位胰腺病例，因此，本文还对相关文献进行了综述。
