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中华临床医师杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 91 -94. doi: 10.3877/cma.j.issn.1674-0785.2025.01.015

病例报告

十二指肠乳头部异位胰腺一例报道
黄熙龙1, 王攀2,()   
  1. 1. 湖南郴州 423000,郴州市第一人民医院集团肝胆肿瘤诊疗中心
    2. 湖南郴州 423000,郴州市第一人民医院集团肝胆胰脾外科
  • 收稿日期:2025-01-13 出版日期:2025-01-15
  • 通信作者: 王攀
  • 基金资助:
    郴州市内镜下胰胆管系统诊疗技术研发中心项目;郴州市第一人民医院院内技术项目(2021B044)

Heterotopic pancreas of the duodenal papilla:a case report

Xilong Huang, Pan Wang()   

  • Received:2025-01-13 Published:2025-01-15
  • Corresponding author: Pan Wang
引用本文:

黄熙龙, 王攀. 十二指肠乳头部异位胰腺一例报道[J/OL]. 中华临床医师杂志(电子版), 2025, 19(01): 91-94.

Xilong Huang, Pan Wang. Heterotopic pancreas of the duodenal papilla:a case report[J/OL]. Chinese Journal of Clinicians(Electronic Edition), 2025, 19(01): 91-94.

图1 CT示胆总管末端病灶 注:红色箭头为为胆总管末端强化病灶
图2 十二指肠镜示球降交界见一隆起
图3 十二指肠镜下ERCP操作。图a为十二指肠镜下ERCP导丝插管;图b为ERCP造影是胆总管中下段囊性扩张
图4 PTCD造影示胆总管末端梗阻
图5 CT复查示胆总管末端占位未见明显扩大 注:红色箭头为胆总管末端强化病灶
图6 MRI示胆总管末端结节,弱强化 注:红色箭头为胆总管末端强化病灶
图7 胆汁液基细胞学未见异型细胞
图8 超声内镜考虑胆总管末端CA可能
图9 手术标本与病理图片。图a为胰十二指肠完整切除标本;图b为十二指肠乳头粘膜下占位病理图片
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