Ampullary adenomyoma presenting as acute recurrent pancreatitis  

作　　者：Tae-Hee Kwon Do Hyun Park Kwang Yeon Shim Hyun-Deuk Cho Jeong Hoon Park Suck-Ho Lee Il-Kwun Chung Hong-Soo Kim Sang-Heum Park Sun-Joo Kim 

机构地区：[1]Division of Gastroenterology,Department of Internal Medicine,Soon Chun Hyang University Cheonan Hospital,Cheonan,Choongnam 330-721,Korea [2]Division of Gastroenterology,Department of Pathology,Soon Chun Hyang University Cheonan Hospital,Cheonan,Choongnam 330-721,Korea

出　　处：《World Journal of Gastroenterology》2007年第20期2892-2894,共3页世界胃肠病学杂志（英文版）

摘　　要：Adenomyoma is a term generally applied to nodular lesions showing proliferation of both epithelial and smooth muscle components. Despite its benign nature,ampullary adenomyoma is usually presented as biliary obstruction. Most cases are misdiagnosed as carcinoma or adenoma by preoperative endoscopic or radiologic procedure. Therefore,it is frequently treated with extensive surgery. To our knowledge,this is the first reported case in English literature of adenomyoma located in the peripancreatic orifice resulting in intermittent pancreatic duct obstruction and recurrent pancreatitis diagnosed by the endoscopic piecemeal resection.Adenomyoma is a term generally applied to nodular lesions showing proliferation of both epithelial and smooth muscle components. Despite its benign nature, ampullary adenomyoma is usually presented as biliary obstruction. Most cases are misdiagnosed as carcinoma or adenoma by preoperative endoscopic or radiologic procedure. Therefore, it is frequently treated with extensive surgery. To our knowledge, this is the first reported case in English literature of adenomyoma located in the peripancreatic orifice resulting in intermittent pancreatic duct obstruction and recurrent pancreatitis diagnosed by the endoscopic piecemeal resection.

关 键 词：AMPULLA ADENOMYOMA Acute recurrent pancreatitis Endoscopic resection 

分 类 号：R576[医药卫生—消化系统]