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
Hauptverfasser: Suzuki, Koyu, Uchida, Toshikazu, Nakayama, Hisashi, Ugajin, Wakato, Inaniwa, Yoshimi, Sugitani, Masahiko, Mori, Yoshiomi
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container_end_page 762
container_issue 8
container_start_page 759
container_title Pathology international
container_volume 49
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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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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