Dutta Souradeep, Jain Ankit, Reddy Abhinaya, Nelamangala Ramakrishnaiah Vishnu Prasad
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, IND.
Cureus. 2021 Feb 13;13(2):e13331. doi: 10.7759/cureus.13331.
Synchronous malignancies involving the gallbladder and the bile duct are exceedingly rare. Moreover, their association with anomalous pancreaticobiliary duct junction (APBDJ) has been reported mostly from the Far Eastern countries. Over time, many studies have suggested the definite risk of malignancy attributable to the 'carcinogenic anatomical configuration' of the long common biliopancreatic channel, allowing reflux of pancreatic juices in the biliary tract. In this report, we present a case of an elderly man from South India who was initially diagnosed with synchronous gall bladder with bile duct malignancy; the patient turned out to have an APBDJ on further evaluation.
胆囊和胆管同时发生的恶性肿瘤极为罕见。此外，它们与胰胆管异常汇合（APBDJ）的关联大多是在远东国家报道的。随着时间的推移，许多研究表明，由于长的共同胆胰管通道的“致癌解剖结构”，使得胰液反流至胆道，从而明确存在恶性肿瘤风险。在本报告中，我们介绍了一名来自印度南部的老年男性病例，该患者最初被诊断为胆囊和胆管同时发生恶性肿瘤；进一步评估发现该患者存在胰胆管异常汇合。
