Abstract
A 68-year-old woman was admitted to Yamanashi Medical College Hospital with chief complains of right hypochondralgia andback pain. Ultrasonography and computed tomography revealed a papillary growing tumor of the gallbladder and endoscopic retrograde cholangio pancreatography showed an anomalous arrangement of the pancreaticobiliary ductal system (AAPB). Extended cholecystectomy with dissection of the regional lymph nodes and resection of the bile duct, with biliary diversion, were performed. The resected specimen showed a partial transverse septum across the gallbladder and a cavity in the fundus occupied by a papillary growing tumor mass, of which the histological findings were papillary adenocarcinoma. The mucosa of the cavity in the neck had a normal appearance. Microscopic findings of the wall distal to the transverse septum showed proliferation of the ductal structure. Rokitansky-Aschoff sinus and dysplastic changes in the mucosa. These findings suggest that a mixture of bile and pancreatic juice caused by the AAPB and the septum was related to the pathogenesis of the gallbladder cancer in this patient.
| Original language | English |
|---|---|
| Pages (from-to) | 881-885 |
| Number of pages | 5 |
| Journal | the japanese journal of gastroenterological surgery |
| Volume | 25 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 1992 |
| Externally published | Yes |
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Keywords
- anomalous arrangement of the pancreaticobiliary ductal system
- carcinoma of the gallbladder
- gallbladder with partial transverse septum
ASJC Scopus subject areas
- Surgery
- Gastroenterology
Cite this
A Case of Carcinoma of the Gallbladder, Presenting an Intraluminal Growth, Accompanied with Partial Transverse Septum across the Organ and Anomalous Arrangement of the Pancreaticobiliary Ductal System. / Itakura, Jun; Fukazawa, Tomoki; Iimuro, Yuuji; Ishikawa, Toru; Sakai, Keisuke; Matsumoto, Yoshiro; Mogaki, Masatoshi; Suda, Koichi.
In: the japanese journal of gastroenterological surgery, Vol. 25, No. 3, 1992, p. 881-885.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A Case of Carcinoma of the Gallbladder, Presenting an Intraluminal Growth, Accompanied with Partial Transverse Septum across the Organ and Anomalous Arrangement of the Pancreaticobiliary Ductal System
AU - Itakura, Jun
AU - Fukazawa, Tomoki
AU - Iimuro, Yuuji
AU - Ishikawa, Toru
AU - Sakai, Keisuke
AU - Matsumoto, Yoshiro
AU - Mogaki, Masatoshi
AU - Suda, Koichi
PY - 1992
Y1 - 1992
N2 - A 68-year-old woman was admitted to Yamanashi Medical College Hospital with chief complains of right hypochondralgia andback pain. Ultrasonography and computed tomography revealed a papillary growing tumor of the gallbladder and endoscopic retrograde cholangio pancreatography showed an anomalous arrangement of the pancreaticobiliary ductal system (AAPB). Extended cholecystectomy with dissection of the regional lymph nodes and resection of the bile duct, with biliary diversion, were performed. The resected specimen showed a partial transverse septum across the gallbladder and a cavity in the fundus occupied by a papillary growing tumor mass, of which the histological findings were papillary adenocarcinoma. The mucosa of the cavity in the neck had a normal appearance. Microscopic findings of the wall distal to the transverse septum showed proliferation of the ductal structure. Rokitansky-Aschoff sinus and dysplastic changes in the mucosa. These findings suggest that a mixture of bile and pancreatic juice caused by the AAPB and the septum was related to the pathogenesis of the gallbladder cancer in this patient.
AB - A 68-year-old woman was admitted to Yamanashi Medical College Hospital with chief complains of right hypochondralgia andback pain. Ultrasonography and computed tomography revealed a papillary growing tumor of the gallbladder and endoscopic retrograde cholangio pancreatography showed an anomalous arrangement of the pancreaticobiliary ductal system (AAPB). Extended cholecystectomy with dissection of the regional lymph nodes and resection of the bile duct, with biliary diversion, were performed. The resected specimen showed a partial transverse septum across the gallbladder and a cavity in the fundus occupied by a papillary growing tumor mass, of which the histological findings were papillary adenocarcinoma. The mucosa of the cavity in the neck had a normal appearance. Microscopic findings of the wall distal to the transverse septum showed proliferation of the ductal structure. Rokitansky-Aschoff sinus and dysplastic changes in the mucosa. These findings suggest that a mixture of bile and pancreatic juice caused by the AAPB and the septum was related to the pathogenesis of the gallbladder cancer in this patient.
KW - anomalous arrangement of the pancreaticobiliary ductal system
KW - carcinoma of the gallbladder
KW - gallbladder with partial transverse septum
UR - http://www.scopus.com/inward/record.url?scp=85004680363&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85004680363&partnerID=8YFLogxK
U2 - 10.5833/jjgs.25.881
DO - 10.5833/jjgs.25.881
M3 - Article
AN - SCOPUS:85004680363
VL - 25
SP - 881
EP - 885
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
SN - 0386-9768
IS - 3
ER -