Ariyaratnam P, Cooke J, Dasgupta D, Wedgwood K
Castle Hill Hospital, Cottingham, Yorkshire, UK.
J Surg Case Rep. 2011 Feb 1;2011(2):7. doi: 10.1093/jscr/2011.2.7.
Benign pathologies demonstrated after a Whipple's resection (pancreatoduodenectomy) for pancreatic and peri-ampullary lesions are relatively uncommon. Here we report two cases where a Whipple's procedure was undertaken for suspected pancreaticobiliary cancer and where the final histology revealed, in each case, a rare benign lesion. The first case confirmed a cholesterol polyp in the distal common bile duct whilst the second case revealed ampullary intramural ectopic gland hyperplasia. Although pre-operative imaging helps in differentiating some benign lesions from malignant lesions, rare benign pathology may still mimic malignant conditions leading to a Whipple's resection.
在因胰腺和壶腹周围病变行胰十二指肠切除术（惠普尔手术）后发现的良性病变相对少见。在此，我们报告两例患者，他们因疑似胰胆管癌接受了惠普尔手术，但最终组织学检查在每例中均显示为罕见的良性病变。第一例确诊为胆总管远端的胆固醇息肉，而第二例显示为壶腹壁内异位腺增生。尽管术前影像学有助于区分一些良性病变和恶性病变，但罕见的良性病理仍可能酷似恶性情况，从而导致行惠普尔手术。
