췌담관 확장을 동반한 바터 팽대부 선근종 1예 |
이병욱ㆍ방제소ㆍ양수현ㆍ김지호ㆍ변종훈ㆍ시원근ㆍ이문형ㆍ최보경 |
서울보훈병원 소화기내과 |
A Case of Ampullary Adenomyoma Associated with Dilatations of Pancreatic and Biliary Ducts |
Byung Uk Lee, M.D., Jei So Bang, M.D., Soo Hyun Yang, M.D., Ji Ho Kim, M.D., Jong Hoon Byun, M.D., Won Keun Si, M.D., Moon Hyung Lee, M.D. and Bo Kyoung Choi, M.D. |
Department of Internal Medicine, Seoul Veterans Hospital, Seoul, Korea |
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Abstract |
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Adenomyoma is a nonneoplastic lesion that can be found anywhere in the gastrointestinal tract, but it's rarely found in the ampulla of Vater. To the best of our knowledge, it is a benign lesion, but most cases are misdiagnosed as carcinoma or adenoma by a preoperative endoscopic or radiologic procedure, and this leads to unnecessarily extensive surgical resection. We report here on a case of ampulla of Vater adenomyoma that resulted in biliary and pancreatic duct dilatation. The tumor was diagnosed by endoscopic papillectomy. (Korean J Gastrointest Endosc 2010;40:391-395) |
Key Words:
Adenomyoma, Ampulla of Vater, Biliary dilatation, Pancreatic duct dilatation, Endoscopic papillectomy |
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