一个状腺瘤呈现黄引起的十二指肠内:一个病例报告
Hiroyuki Nojima1, Hiroaki Shimizu2, Mihono Hirota1
1Department of Surgery, Teikyo University Chiba Medical Center, Anesaki, Ichihara, Chiba, 3426-3299-0011, Japan.
Surgical case reports
|January 22, 2024
概括
腹膜腺瘤很少通过十二指甲腺内引起黄. 这一案例突显了诊断方面的挑战以及胰腺双管切除术对于带有胆道阻塞的囊腺瘤的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 腹膜腺瘤是前恶性病变,很少出现胆道阻塞.
- 由于十二指甲腺瘤的次要原因,十二指甲腺内异常罕见,因为十二指甲腺固定.
研究的目的:
- 报告一种罕见的囊腺瘤病例,该病例会通过十二指肠内引起黄.
- 讨论这种罕见表现的诊断挑战和手术管理.
主要方法:
- 一名40岁的女性患有黄和吐,接受了成像检查 (CT,低压十二指镜) 和上部内镜检查.
- 活检证实了囊腺瘤;进行了胰腺双管切除术.
- 病理检查发现了一种高度的肠腺瘤.
主要成果:
- 患者出现了黄和腹上疼痛,最初归因于导致胆道阻塞的十二指肠质量.
- 图像检测显示,一个移动的十二指肠质量发生了转移,导致间歇性黄.
- 手术后的病理学证实了高度的囊腺瘤,没有意外的恢复.
结论:
- 腹膜腺瘤很少会通过十二指肠内引起黄.
- 术前诊断可能是具有挑战性的,因为恶性瘤的可能性和不寻常的呈现.
- 胰腺双管切除术是这些病例的推手术,考虑到潜在的恶性病变.
相关概念视频
Diseases of the Liver and Gallbladder
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Pyloric Obstruction
Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Intestinal Obstruction I: Introduction
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Jaundice
Jaundice, or icterus, is the yellow discoloration of the skin, sclerae, and mucous membranes. It happens when plasma bilirubin levels rise above 2.5-3 mg/dL, leading to bilirubin deposition in tissue.Bilirubin is a byproduct of hemoglobin degradation. In macrophages, hemoglobin breaks down into globin and heme. Globin is converted into amino acids, while heme is turned into biliverdin by heme oxygenase, which is then reduced to unconjugated bilirubin by biliverdin reductase.Unconjugated...


