胆囊异位胰腺合并慢性胆囊炎及高淀粉酶尿症。
Heterotopic pancreas of the gallbladder associated with chronic cholecystitis and high levels of amylasuria.
作者信息
Klimis Thanasis, Roukounakis Nikolaos, Kafetzis Ilias, Mouziouras Vasileios, Karantonis Ilias, Andromanakos Nikolaos
机构信息
Department of Pathology, Third Hospital of Social Insurance Institute, Athens, Greece.
出版信息
JOP. 2011 Sep 9;12(5):458-60.
CONTEXT
Heterotopic pancreas of the gallbladder is an extremely rare entity, especially when pancreatic tissue appears histologically with an exclusively exocrine structure.
CASE REPORT
We report the case of a 35-year-old man who presented with symptoms of acalculous gallbladder disease with high levels of amylasuria. Immunohistochemical analysis of the surgical specimen of the cholecystectomy revealed pancreatic tissue at the gallbladder wall.
CONCLUSIONS
Heterotopic pancreatic tissue is a rare pathological finding in the gallbladder. It requires consideration and sensitization in the differential diagnosis of acalculous gallbladder disease, which can explain hyperamylasuria in cases of unknown origin.
背景
胆囊异位胰腺是一种极其罕见的情况，尤其是当胰腺组织在组织学上仅表现为外分泌结构时。
病例报告
我们报告了一名35岁男性的病例，他表现出无结石性胆囊疾病的症状，伴有高水平的淀粉尿。对胆囊切除术手术标本的免疫组织化学分析显示胆囊壁存在胰腺组织。
结论
异位胰腺组织是胆囊中罕见的病理发现。在无结石性胆囊疾病的鉴别诊断中需要考虑并提高对此的认识，这可以解释不明原因病例中的高淀粉尿症。
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