Hammarström L E, Holmin T, Stenram U
Department of Surgery, University of Lund, Sweden.
Surg Laparosc Endosc. 1997 Oct;7(5):388-93.
Adenomyomas of the bile ducts are extremely rare. They are most likely often overlooked also when situated in the ampulla of Vater and obstructing bile flow. Of 3,131 endoscopic retrograde cholangiograms, four patients with ampullary adenomyoma and signs of biliary obstruction have been diagnosed. When recognized they can be treated effectively by endoscopic means. However, their radiologic and endoscopic appearances were found difficult to interpret and led to unnecessary endoscopic sessions in one patient and surgery in another. Thus, increased awareness of this entity is important to avoid overlooking or misdiagnosing it.
胆管腺肌瘤极为罕见。当位于Vater壶腹并阻塞胆汁流动时，它们很可能常常被忽视。在3131例内镜逆行胆管造影中，诊断出4例患有壶腹腺肌瘤并有胆道梗阻迹象的患者。一旦确诊，可通过内镜手段进行有效治疗。然而，发现它们的放射学和内镜表现难以解读，导致一名患者进行了不必要的内镜检查，另一名患者接受了手术。因此，提高对这种疾病的认识对于避免漏诊或误诊很重要。
