十二指肠壶腹部胰腺异位1例报告

师鸿运; 权盼盼; 宋向阳; 刘晓燕; 王英超

doi:10.3969/j.issn.1001-5256.2022.12.027

十二指肠壶腹部胰腺异位1例报告

DOI: 10.3969/j.issn.1001-5256.2022.12.027

a.
吉林大学第一医院肝胆胰外二科，长春 130021
b.
吉林大学第一医院心血管病中心内科组，长春 130021

基金项目:

吉林省自然科学基金 (20200201331JC)

伦理学声明：本例报告已获得患者知情同意。

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：师鸿运负责课题设计，资料分析，撰写论文；权盼盼负责收集及分析数据；宋向阳、刘晓燕负责文献查找分析，修改论文；王英超负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

通信作者:
王英超，wangyingc@jlu.edu.cn

计量
- 文章访问数: 1295
- HTML全文浏览量: 936
- PDF下载量: 58
- 被引次数: 0
出版历程
- 收稿日期: 2022-04-29
- 录用日期: 2022-05-29
- 出版日期: 2022-12-20

Ectopic pancreas in duodenal ampullary: A case report

a.
Second Department of Hepatobiliary and Pancreatic Surgery, Cardiovascular Disease Center, First Hospital of Jilin University, Changchun 130021, China
b.
Department of Internal Medicine, Cardiovascular Disease Center, First Hospital of Jilin University, Changchun 130021, China

Research funding:

Natural Science Foundation of Jilin Province (20200201331JC)

More Information

Corresponding author: WANG Yingchao, wangyingc@jlu.edu.cn (ORCID: 0000-0002-3847-7977)

摘要

- 十二指肠 /
- 胰腺疾病 /
- 肝胰管壶腹
- Duodenum /
- Pancreatic Diseases /
- Ampulla of Vater

HTML全文

图 1 术前腹部增强CT

注：a, 平扫期；b, 动脉期；c, 静脉期。

Figure 1. Preoperative enhanced abdominal CT

下载: 全尺寸图片幻灯片

图 2 术前腹部MRCP

Figure 2. Preoperative abdominal MRCP

下载: 全尺寸图片幻灯片

图 3 术前腹部超声

Figure 3. Preoperative abdominal ultrasound

下载: 全尺寸图片幻灯片

图 4 术后病理

注：a，肿瘤大体观；b, HE染色(×200)。

Figure 4. Postoperative pathology

下载: 全尺寸图片幻灯片

参考文献(18)

[1]	THOENI RF, GEDGAUDAS RK. Ectopic pancreas: usual and unusual features[J]. Gastrointest Radiol, 1980, 5(1): 37-42. DOI: 10.1007/BF01888597.
[2]	ZIŃCZUK J, BANDURSKI R, PRYCZYNICZ A, et al. Ectopic pancreas imitating gastrointestinal stromal tumor (GIST) in the stomach[J]. Pol Przegl Chir, 2015, 87(5): 268-271. DOI: 10.1515/pjs-2015-0052.
[3]	ARMSTRONG CP, KING PM, DIXON JM, et al. The clinical significance of heterotopic pancreas in the gastrointestinal tract[J]. Br J Surg, 1981, 68(6): 384-387. DOI: 10.1002/bjs.1800680606.
[4]	CHANDAN VS, WANG W. Pancreatic heterotopia in the gastric antrum[J]. Arch Pathol Lab Med, 2004, 128(1): 111-112. DOI: 10.5858/2004-128-111-PHITGA.
[5]	SUBRAMANIAN M, WEE E, DESAI V, et al. Clinics in diagnostic imaging. 158. Duodenal ectopic pancreas[J]. Singapore Med J, 2014, 55(12): 629-633; quiz 633. DOI: 10.11622/smedj.2014175.
[6]	CHEN WX, CHEN GP. Anatomy and clinic of ectopic pancreas[J]. Chin J Anat, 2006, 29(4): 516-518. DOI: 10.3969/j.issn.1001-1633.2006.04.037. 陈吴兴, 陈光平. 异位胰腺的解剖及临床[J]. 解剖学杂志, 2006, 29(4): 516-518. DOI: 10.3969/j.issn.1001-1633.2006.04.037.
[7]	CAZACU IM, LUZURIAGA CHAVEZ AA, NOGUERAS GONZALEZ GM, et al. Malignant transformation of ectopic pancreas[J]. Dig Dis Sci, 2019, 64(3): 655-668. DOI: 10.1007/s10620-018-5366-z.
[8]	KUNG JW, BROWN A, KRUSKAL JB, et al. Heterotopic pancreas: typical and atypical imaging findings[J]. Clin Radiol, 2010, 65(5): 403-407. DOI: 10.1016/j.crad.2010.01.005.
[9]	URADE M, FUJIMOTO S. Ectopic pancreatitis in the antral stomach causing gastric outlet obstruction: a case of successful resection[J]. Clin J Gastroenterol, 2020, 13(3): 465-471. DOI: 10.1007/s12328-019-01073-8.
[10]	FUKINO N, OIDA T, MIMATSU K, et al. Adenocarcinoma arising from heterotopic pancreas at the third portion of the duodenum[J]. World J Gastroenterol, 2015, 21(13): 4082-4088. DOI: 10.3748/wjg.v21.i13.4082.
[11]	LIANG DY, ZHOU JJ, ZENG MS, et al. Diagnosis and differential diagnosis of ectopic pancreas in stomach and duodenum with MDCT[J]. J Clin Radiol, 2021, 40(2): 306-310. DOI: 10.13437/j.cnki.jcr.2021.02.024. 梁冬云, 周建军, 曾蒙苏, 等. 胃及十二指肠异位胰腺的CT诊断及鉴别诊断[J]. 临床放射学杂志, 2021, 40(2): 306-310. DOI: 10.13437/j.cnki.jcr.2021.02.024.
[12]	ZHAO F, YANG JM, XU QS. Application of ultrasonic endoscopy in the diagnosis and treatment of ectopic pancreas[J]. Zhejiang Med, 2018, 40(4): 400-401, 407. DOI: 10.12056/j.issn.1006-2785.2017.40.4.2017-162. 赵飞, 杨建民, 徐启顺. 超声内镜在异位胰腺诊治中的应用[J]. 浙江医学, 2018, 40(4): 400-401, 407. DOI: 10.12056/j.issn.1006-2785.2017.40.4.2017-162.
[13]	HAO Q, XUE JF, TIAN XY, et al. A case of ectopic pancreas in the gastric antrum misdiagnosed as hepatic cyst[J]. J Clin Hepatol, 2016, 32(11): 2171-2172. DOI: 10.3969/j.issn.1001-5256.2016.11.036. 郝乔, 薛建锋, 田向永, 等. 胃窦异位胰腺误诊为肝囊肿1例报告[J]. 临床肝胆病杂志, 2016, 32(11): 2171-2172. DOI: 10.3969/j.issn.1001-5256.2016.11.036.
[14]	RAN WB, CHEN YY, XI WD, et al. Pyloric duodenal heterotopic pancreatic cancer with pyloric obstruction: A case report[J]. Mod Digest Interv, 2021, 26(7): 807-810. DOI: 10.3969/j.issn.1672-2159.2021.07.002. 冉文斌, 陈媛媛, 奚维东, 等. 幽门十二指肠异位胰腺癌变致幽门梗阻1例[J]. 现代消化及介入诊疗, 2021, 26(7): 807-810. DOI: 10.3969/j.issn.1672-2159.2021.07.002.
[15]	REZVANI M, MENIAS C, SANDRASEGARAN K, et al. Heterotopic pancreas: Histopathologic features, imaging findings, and complications[J]. Radiographics, 2017, 37(2): 484-499. DOI: 10.1148/rg.2017160091.
[16]	WANG HB, MA MZ, YANG CM, et al. Diagnosis and treatment of heterotopic pancreas in gastrointestinal tract: A report of 60 cases[J]. Chin J Pancreatol, 2010, 10(4): 238-240. DOI: 10.3760/cma.j.issn.1674-1935.2010.04.005. 王洪波, 马铭泽, 杨崇美, 等. 胃肠道异位胰腺60例的诊断与治疗分析[J]. 中华胰腺病杂志, 2010, 10(4): 238-240. DOI: 10.3760/cma.j.issn.1674-1935.2010.04.005.
[17]	ZHONG YX, JIN P, KANG WZ, et al. Diagnosis and treatment of 36 patients with ectopic esophageal cancer[J]. Chin J Clin Oncol Rehabil, 2021, 28(6): 641-643. DOI: 10.13455/j.cnki.cjcor.2021.06.01. 钟宇新, 金鹏, 康文哲, 等. 36例异位胰腺患者诊治分析[J]. 中国肿瘤临床与康复, 2021, 28(6): 641-643. DOI: 10.13455/j.cnki.cjcor.2021.06.01.
[18]	HIROKAWA YS, IWATA T, OKUGAWA Y, et al. HER2-positive adenocarcinoma arising from heterotopic pancreas tissue in the duodenum: A case report[J]. World J Gastroenterol, 2021, 27(28): 4738-4745. DOI: 10.3748/wjg.v27.i28.4738.