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.
Share Button
New comment
Comments
No comments for this article
References
Hosoda W, Chianchiano P, Griffin JF, et al. Genetic analyses of isolated high-grade pancreatic intraepithelial neoplasia (HG-PanIN) reveal paucity of alterations in TP53 and SMAD4. J Pathol. 2017 May;242(1):16-23. doi: 10.1002/path.4884.
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.
Choi YH, Kim MJ, Han JH, et al. Clinical, pathological, and immunohistochemical features of adenomyoma in the ampulla of vater. Korean J Gastroenterol. 2013 Dec;62(6):352-8. doi: 10.4166/kjg.2013.62.6.352.
Related articles
Citation tools
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


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 833 visits.
This article has been downloaded 43 times.

Statistics from Dimensions


Statistics from Plum Analytics

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


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology