Seo D W, Kim M H, Lee S K, Yoo B M, Jung S A, Myung S J, Min Y I, Gong G, Auh Y H
Dept. of Internal Medicine, Asan Medical Center, University of Ulsan, Seoul, Korea.
Endoscopy. 1997 May;29(4):315-8. doi: 10.1055/s-2007-1004196.
We report here on three cases of mucinous ductal ectasia in which the diagnosis was suggested by abdominal computed tomography and finally established by duodenoscopy with pancreatoscopy. Duodenoscopic examination of the ampulla of Vater demonstrated a patulous papillary orifice and extrusion of viscid mucus. Pancreatoscopic examination was carried out in all three patients, and characteristic findings such as papillary or villous mucosal projections coated with whitish gelatinous mucus were noted. In patients with mucinous ductal ectasia in whom the radiographic findings are equivocal, pancreatoscopic examination may provide valuable information for the differential diagnosis of amorphous filling defects in the main pancreatic duct, and may provide information that helps to determine the extent of the pathology and the resection margin.
我们在此报告三例黏液性导管扩张症，其诊断最初由腹部计算机断层扫描提示，最终经十二指肠镜检查及胰管镜检查得以确诊。对十二指肠乳头进行十二指肠镜检查时发现乳头开口扩大且有黏性黏液挤出。对所有三例患者均进行了胰管镜检查，观察到了一些特征性表现，如乳头状或绒毛状黏膜突起上覆盖着白色胶冻样黏液。对于黏液性导管扩张症患者，若影像学检查结果不明确，胰管镜检查可为鉴别主胰管内的无定形充盈缺损提供有价值的信息，还可为确定病变范围及手术切缘提供帮助。
