Emergency pancreaticoduodenectomy in duodenal paraganglioma: case report.

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-04-12 DOI:10.5402/2011/268674
Fazl Q Parray, Iqbal M Lone, Nisar A Chowdri, Imtiaz Wani, Mehmood A Wani, G M Gulzar, Natasha Thakur
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引用次数: 7

Abstract

Duodenal gangliocytic paraganglioma (DGP) is a rare tumor that characteristically occurs in the second part of duodenum. These appear as submucosal masses that protrude into the lumen of a duodenum. Gastrointestinal bleeding is the commonest manifestation of DGP. Metastatic spread to regional lymph nodes occurs rarely. Surgical resection is the treatment of choice for DGP. A case of a DGP is reported in young female who presented with a recurrent upper gastrointestinal bleeding. Upper gastrointestinal endoscopy (UGIE) documented a mass in the ampullary region with ulceration in its middle which was bleeding. Recurrent gastrointestinal bleeding necessitated an emergency pancreaticoduodenectomy. Histopathology of specimen documented gangliocytic paraganglioma.

Abstract Image

紧急胰十二指肠切除术治疗十二指肠副神经节瘤1例。
十二指肠神经节细胞副神经节瘤(DGP)是一种罕见的肿瘤,主要发生在十二指肠的第二部分。表现为突出于十二指肠管腔的粘膜下肿物。胃肠出血是胃肠绞痛最常见的表现。转移扩散到局部淋巴结很少发生。手术切除是DGP的首选治疗方法。一例DGP报告在年轻女性谁提出了复发上消化道出血。上消化道内窥镜(UGIE)显示壶腹区有肿块,中间有溃疡并出血。复发性胃肠道出血需要紧急胰十二指肠切除术。组织病理学证实为神经节细胞副神经节瘤。
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