Heterotopic pancreatic tissue associated with intra‐ and extrahepatic choledochal cysts
A case report of heterotopic pancreas in intra‐ and extrahepatic biliary tracts in a 36‐year‐old female who suffered from intra‐ and extrahepatic choledochal cysts with an anomalous pancreatobiliary duct system. Histologic examination of the resected specimen showed pancreatic tissues located along...
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Veröffentlicht in: | Pathology international 1999-08, Vol.49 (8), p.759-762 |
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creator | Suzuki, Koyu Uchida, Toshikazu Nakayama, Hisashi Ugajin, Wakato Inaniwa, Yoshimi Sugitani, Masahiko Mori, Yoshiomi |
description | A case report of heterotopic pancreas in intra‐ and extrahepatic biliary tracts in a 36‐year‐old female who suffered from intra‐ and extrahepatic choledochal cysts with an anomalous pancreatobiliary duct system. Histologic examination of the resected specimen showed pancreatic tissues located along the wall of the biliary tract with choledochal cysts. The pancreatic tissue consisted of acinar cells and duct elements without Langerhans’ islets; the acinar cells were positive immunohistochemically for α‐amylase and negative for endocrine hormones. Ultrastructural study revealed zymogen granules in the acinar cells. In the present case the heterotopic exocrine pancreatic tissue seems to be etiologically related to choledochal cysts as well as to the anomalous arrangement of the pancreatobiliary duct. |
doi_str_mv | 10.1046/j.1440-1827.1999.00930.x |
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Histologic examination of the resected specimen showed pancreatic tissues located along the wall of the biliary tract with choledochal cysts. The pancreatic tissue consisted of acinar cells and duct elements without Langerhans’ islets; the acinar cells were positive immunohistochemically for α‐amylase and negative for endocrine hormones. Ultrastructural study revealed zymogen granules in the acinar cells. In the present case the heterotopic exocrine pancreatic tissue seems to be etiologically related to choledochal cysts as well as to the anomalous arrangement of the pancreatobiliary duct.</description><identifier>ISSN: 1320-5463</identifier><identifier>EISSN: 1440-1827</identifier><identifier>DOI: 10.1046/j.1440-1827.1999.00930.x</identifier><identifier>PMID: 10504546</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Science Pty</publisher><subject>Adult ; Bile Duct Diseases - diagnostic imaging ; Bile Duct Diseases - etiology ; Bile Ducts, Extrahepatic ; Bile Ducts, Intrahepatic - diagnostic imaging ; biliary tract ; Cholangiopancreatography, Endoscopic Retrograde ; choledochal cyst ; Choledochal Cyst - diagnostic imaging ; Choledochal Cyst - etiology ; Choledochal Cyst - pathology ; Choristoma - complications ; Choristoma - pathology ; Common Bile Duct - diagnostic imaging ; Female ; heterotopia ; Humans ; liver ; Microscopy, Electron ; Pancreas ; Pancreatic Ducts - abnormalities ; Pancreatic Ducts - diagnostic imaging ; Tomography, X-Ray Computed</subject><ispartof>Pathology international, 1999-08, Vol.49 (8), p.759-762</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3640-b7cdb744d28c980177937b80b7359b5f0cf10b8b7910125383856d79cadefa213</citedby><cites>FETCH-LOGICAL-c3640-b7cdb744d28c980177937b80b7359b5f0cf10b8b7910125383856d79cadefa213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1440-1827.1999.00930.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1440-1827.1999.00930.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10504546$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suzuki, Koyu</creatorcontrib><creatorcontrib>Uchida, Toshikazu</creatorcontrib><creatorcontrib>Nakayama, Hisashi</creatorcontrib><creatorcontrib>Ugajin, Wakato</creatorcontrib><creatorcontrib>Inaniwa, Yoshimi</creatorcontrib><creatorcontrib>Sugitani, Masahiko</creatorcontrib><creatorcontrib>Mori, Yoshiomi</creatorcontrib><title>Heterotopic pancreatic tissue associated with intra‐ and extrahepatic choledochal cysts</title><title>Pathology international</title><addtitle>Pathol Int</addtitle><description>A case report of heterotopic pancreas in intra‐ and extrahepatic biliary tracts in a 36‐year‐old female who suffered from intra‐ and extrahepatic choledochal cysts with an anomalous pancreatobiliary duct system. Histologic examination of the resected specimen showed pancreatic tissues located along the wall of the biliary tract with choledochal cysts. The pancreatic tissue consisted of acinar cells and duct elements without Langerhans’ islets; the acinar cells were positive immunohistochemically for α‐amylase and negative for endocrine hormones. Ultrastructural study revealed zymogen granules in the acinar cells. In the present case the heterotopic exocrine pancreatic tissue seems to be etiologically related to choledochal cysts as well as to the anomalous arrangement of the pancreatobiliary duct.</description><subject>Adult</subject><subject>Bile Duct Diseases - diagnostic imaging</subject><subject>Bile Duct Diseases - etiology</subject><subject>Bile Ducts, Extrahepatic</subject><subject>Bile Ducts, Intrahepatic - diagnostic imaging</subject><subject>biliary tract</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>choledochal cyst</subject><subject>Choledochal Cyst - diagnostic imaging</subject><subject>Choledochal Cyst - etiology</subject><subject>Choledochal Cyst - pathology</subject><subject>Choristoma - complications</subject><subject>Choristoma - pathology</subject><subject>Common Bile Duct - diagnostic imaging</subject><subject>Female</subject><subject>heterotopia</subject><subject>Humans</subject><subject>liver</subject><subject>Microscopy, Electron</subject><subject>Pancreas</subject><subject>Pancreatic Ducts - abnormalities</subject><subject>Pancreatic Ducts - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><issn>1320-5463</issn><issn>1440-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkLFOwzAQhi0EoqXwCigTW8I5TmJbYkEV0EoVMMDAZDmOo6RKkxA7arvxCDwjT4LTIMTIdP_p_v_u9CHkYQgwRMn1OsBRBD5mIQ0w5zwA4ASC3RGa_g6OnSYh-HGUkAk6M2YNgClJ4BRNMMQQucEUvS201V1jm7ZUXitr1WlpnbSlMb32pDGNKqXVmbctbeGVte3k18enJ-vM0zvXFLo9BFTRVDprVCErT-2NNefoJJeV0Rc_dYZe7-9e5gt_9fSwnN-ufEUS92pKVZbSKMpCpjhzH1JOaMogpSTmaZyDyjGkLKUcAw5jwgiLk4xyJTOdyxCTGboa97Zd895rY8WmNEpXlax10xtBgTIWstgZ2WhUXWNMp3PRduVGdnuBQQxYxVoM9MRATwxYxQGr2Lno5c-NPt3o7E9w5OgMN6NhW1Z6_-_F4nn56AT5BogVh9o</recordid><startdate>199908</startdate><enddate>199908</enddate><creator>Suzuki, Koyu</creator><creator>Uchida, Toshikazu</creator><creator>Nakayama, Hisashi</creator><creator>Ugajin, Wakato</creator><creator>Inaniwa, Yoshimi</creator><creator>Sugitani, Masahiko</creator><creator>Mori, Yoshiomi</creator><general>Blackwell Science Pty</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199908</creationdate><title>Heterotopic pancreatic tissue associated with intra‐ and extrahepatic choledochal cysts</title><author>Suzuki, Koyu ; Uchida, Toshikazu ; Nakayama, Hisashi ; Ugajin, Wakato ; Inaniwa, Yoshimi ; Sugitani, Masahiko ; Mori, Yoshiomi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3640-b7cdb744d28c980177937b80b7359b5f0cf10b8b7910125383856d79cadefa213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Bile Duct Diseases - diagnostic imaging</topic><topic>Bile Duct Diseases - etiology</topic><topic>Bile Ducts, Extrahepatic</topic><topic>Bile Ducts, Intrahepatic - diagnostic imaging</topic><topic>biliary tract</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>choledochal cyst</topic><topic>Choledochal Cyst - diagnostic imaging</topic><topic>Choledochal Cyst - etiology</topic><topic>Choledochal Cyst - pathology</topic><topic>Choristoma - complications</topic><topic>Choristoma - pathology</topic><topic>Common Bile Duct - diagnostic imaging</topic><topic>Female</topic><topic>heterotopia</topic><topic>Humans</topic><topic>liver</topic><topic>Microscopy, Electron</topic><topic>Pancreas</topic><topic>Pancreatic Ducts - abnormalities</topic><topic>Pancreatic Ducts - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Suzuki, Koyu</creatorcontrib><creatorcontrib>Uchida, Toshikazu</creatorcontrib><creatorcontrib>Nakayama, Hisashi</creatorcontrib><creatorcontrib>Ugajin, Wakato</creatorcontrib><creatorcontrib>Inaniwa, Yoshimi</creatorcontrib><creatorcontrib>Sugitani, Masahiko</creatorcontrib><creatorcontrib>Mori, Yoshiomi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pathology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suzuki, Koyu</au><au>Uchida, Toshikazu</au><au>Nakayama, Hisashi</au><au>Ugajin, Wakato</au><au>Inaniwa, Yoshimi</au><au>Sugitani, Masahiko</au><au>Mori, Yoshiomi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Heterotopic pancreatic tissue associated with intra‐ and extrahepatic choledochal cysts</atitle><jtitle>Pathology international</jtitle><addtitle>Pathol Int</addtitle><date>1999-08</date><risdate>1999</risdate><volume>49</volume><issue>8</issue><spage>759</spage><epage>762</epage><pages>759-762</pages><issn>1320-5463</issn><eissn>1440-1827</eissn><abstract>A case report of heterotopic pancreas in intra‐ and extrahepatic biliary tracts in a 36‐year‐old female who suffered from intra‐ and extrahepatic choledochal cysts with an anomalous pancreatobiliary duct system. Histologic examination of the resected specimen showed pancreatic tissues located along the wall of the biliary tract with choledochal cysts. The pancreatic tissue consisted of acinar cells and duct elements without Langerhans’ islets; the acinar cells were positive immunohistochemically for α‐amylase and negative for endocrine hormones. Ultrastructural study revealed zymogen granules in the acinar cells. In the present case the heterotopic exocrine pancreatic tissue seems to be etiologically related to choledochal cysts as well as to the anomalous arrangement of the pancreatobiliary duct.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>10504546</pmid><doi>10.1046/j.1440-1827.1999.00930.x</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Bile Duct Diseases - diagnostic imaging Bile Duct Diseases - etiology Bile Ducts, Extrahepatic Bile Ducts, Intrahepatic - diagnostic imaging biliary tract Cholangiopancreatography, Endoscopic Retrograde choledochal cyst Choledochal Cyst - diagnostic imaging Choledochal Cyst - etiology Choledochal Cyst - pathology Choristoma - complications Choristoma - pathology Common Bile Duct - diagnostic imaging Female heterotopia Humans liver Microscopy, Electron Pancreas Pancreatic Ducts - abnormalities Pancreatic Ducts - diagnostic imaging Tomography, X-Ray Computed |
title | Heterotopic pancreatic tissue associated with intra‐ and extrahepatic choledochal cysts |
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