Diagnostic Challenge in Heterotopic Pancreas in the Ampulla of Vater with Obstructive Jaundice - A Case Report and Literature Review.

IF 0.8 Q4 SURGERY

Chirurgia Pub Date : 2024-08-01 DOI:10.21614/chirurgia.119.eC.3001

Robert Ciortan, Loai Alshantti, Adrian Cîmpeanu, Mihai Toma, Monica Hortopan, Alexandru Procop, Gabriel Mitulescu, Sorin Petrea, Camelia Diaconu, Bogdan Gaspar, Lucian Pop, Valentin Varlas, Adrian Hasegan, Cristina Martac, Marilena Stoian, Anca Zgura, Gabriel Petre Gorecki, Irina Balescu, Alexandru Ciulcu, Nicolae Bacalbasa

引用次数: 0

Abstract

Heterotopic pancreas is a rare congenital abnormality. The most common location is the stomach, duodenum and proximal jejunum. Rare locations are represented by the ampulla of Vater, esophagus, ileum, Meckel diverticulum, biliary tract, mesentery and spleen. We present the case of a 49 year old patient investigated for obstructive jaundice and diagnosed with an ampullar heterotopy of pancreas parenchyma, initially considered to be a malignant tumor. A Whipple pancreatoduodenectomy was performed with good postoperative evolution, the serum levels of bilirubin being normal after the first postoperative week.

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伴有阻塞性黄疸的瓦特氏鞍异位胰腺的诊断难题--病例报告和文献综述。

异位胰腺是一种罕见的先天性畸形。最常见的位置是胃、十二指肠和空肠近端。罕见的位置包括瓦特鞍、食道、回肠、梅克尔憩室、胆道、肠系膜和脾脏。我们介绍了一例 49 岁患者的病例，患者因阻塞性黄疸接受检查，被诊断为胰腺实质瓿异位，最初被认为是恶性肿瘤。患者接受了惠普尔胰十二指肠切除术，术后情况良好，术后一周后血清胆红素水平恢复正常。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chirurgia Medicine-Surgery

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.