Year 2023 / Volume 115 / Number 8
Letter
When Aunt Minnie turns out to be a Zebra: distal bile duct adenomyoma stimulating pancreas head tumor

458

DOI: 10.17235/reed.2022.9240/2022

Alexandra Libeert, Mesut Mutluoglu, Fien Trenson, Stefaan Gryspeerdt,

Abstract
A 55-year-old female patient with a history of ethyl and nicotine abuse presented with chronic diarrhoea, significant weight loss and abnormal liver tests. Ultrasound examination revealed dilatation of the bile ducts and computed tomography scan with IV contrast further established simultaneous dilatation of the common bile duct and pancreatic duct (double duct sign). The dilatation abruptly stopped at the level of the pancreatic head which demonstrated a small irregular hypovascular zone (1.2 cm), suspected for malignancy. The following week, a radical pancreaticoduodenectomy was performed. Anatomopathological analysis revealed an adenomyoma (12 mm) located distal to the common bile duct, without arguments for malignancy.
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References
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Fang JM, Shi J. A Clinicopathologic and Molecular Update of Pancreatic Neuroendocrine Neoplasms with a Focus on the New World Health Organization Classification. Arch Pathol Lab Med. 2019 Nov;143(11):1317-1326. doi: 10.5858/arpa.2019-0338-RA.
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Libeert A, Mutluoglu M, Trenson F, Gryspeerdt S. When Aunt Minnie turns out to be a Zebra: distal bile duct adenomyoma stimulating pancreas head tumor. 9240/2022


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Publication history

Received: 28/09/2022

Accepted: 05/10/2022

Online First: 20/10/2022

Published: 26/07/2023

Article Online First time: 22 days

Article editing time: 301 days


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