Tumors of the minor papilla of the duodenum are quite rare.We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy.A 64-year-old man was ...Tumors of the minor papilla of the duodenum are quite rare.We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy.A 64-year-old man was admitted to our hospital for treatment of an asymptomatic mass in the minor papilla detected by upper gastrointestinal endoscopy.Endscopic analysis showed an 18-mm,whitish,sessile mass,located in the duodenum proximal to a normal-appearing major papilla.Endoscopic retrograde pancreatography did not reveal the pancreatic duct.Magnetic resonance cholangiopancreatography showed a lack of the ventral pancreatic duct.We suspected this case was associated with pancreatic divisum;therefore,we performed endoscopic papillectomy of the minor papilla tumor.Subsequently,endoscopic pancreatic stent placement in the minor papilla was done to prevent drainage disturbance.The patient has been asymptomatic without recurrence of tumor or stenosis of the Santorini orifice upon endoscopic examination for the past 2 years.展开更多
患者男性,48岁.因“体检发现肝外胆管肿瘤2个月”于2014年12月27日入院.2个月前患者于当地医院体检行超声检查时发现胆总管占位,无寒战发热,无恶心呕吐,无腹痛腹胀,无黄疸等症状.复查腹部增强CT提示胆总管囊肿,当时未行治疗.2014年12月1...患者男性,48岁.因“体检发现肝外胆管肿瘤2个月”于2014年12月27日入院.2个月前患者于当地医院体检行超声检查时发现胆总管占位,无寒战发热,无恶心呕吐,无腹痛腹胀,无黄疸等症状.复查腹部增强CT提示胆总管囊肿,当时未行治疗.2014年12月11日于我院门诊行磁共振胰胆管造影检查：壶腹部上方胆总管囊状扩张,胆总管区域见约28 mm×65 mm T2WI混杂异常信号影,肝内胆管、胰管未见异常狭窄或扩张.考虑胆总管囊肿伴局部恶变可能.展开更多
文摘Tumors of the minor papilla of the duodenum are quite rare.We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy.A 64-year-old man was admitted to our hospital for treatment of an asymptomatic mass in the minor papilla detected by upper gastrointestinal endoscopy.Endscopic analysis showed an 18-mm,whitish,sessile mass,located in the duodenum proximal to a normal-appearing major papilla.Endoscopic retrograde pancreatography did not reveal the pancreatic duct.Magnetic resonance cholangiopancreatography showed a lack of the ventral pancreatic duct.We suspected this case was associated with pancreatic divisum;therefore,we performed endoscopic papillectomy of the minor papilla tumor.Subsequently,endoscopic pancreatic stent placement in the minor papilla was done to prevent drainage disturbance.The patient has been asymptomatic without recurrence of tumor or stenosis of the Santorini orifice upon endoscopic examination for the past 2 years.
文摘患者男性,48岁.因“体检发现肝外胆管肿瘤2个月”于2014年12月27日入院.2个月前患者于当地医院体检行超声检查时发现胆总管占位,无寒战发热,无恶心呕吐,无腹痛腹胀,无黄疸等症状.复查腹部增强CT提示胆总管囊肿,当时未行治疗.2014年12月11日于我院门诊行磁共振胰胆管造影检查：壶腹部上方胆总管囊状扩张,胆总管区域见约28 mm×65 mm T2WI混杂异常信号影,肝内胆管、胰管未见异常狭窄或扩张.考虑胆总管囊肿伴局部恶变可能.
