دورية أكاديمية
Adenomyoma of the ampulla of Vater mimicking malignancy: A case report and literature review.
| العنوان: | Adenomyoma of the ampulla of Vater mimicking malignancy: A case report and literature review. |
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| المؤلفون: | Kwon HJ; Department of Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea., Kim SG, Park J |
| المصدر: | Medicine [Medicine (Baltimore)] 2023 Jun 16; Vol. 102 (24), pp. e34080. |
| نوع المنشور: | Review; Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins |
| مواضيع طبية MeSH: | Ampulla of Vater*/surgery , Ampulla of Vater*/pathology , Adenomyoma*/diagnostic imaging , Adenomyoma*/surgery , Common Bile Duct Neoplasms*/diagnosis , Common Bile Duct Neoplasms*/surgery , Common Bile Duct Neoplasms*/pathology, Female ; Humans ; Middle Aged ; Common Bile Duct/pathology ; Pancreaticoduodenectomy |
| مستخلص: | Rationale: Adenomyoma is a rare reactive, hamartomatous benign tumor-like lesion. Although adenomyoma can occur anywhere in the gastrointestinal tract, including the gallbladder, stomach, duodenum, and jejunum, it is very rarely observed in the extrahepatic bile duct and ampulla of Vater (AOV). The preoperative accurate diagnosis of adenomyoma of the Vaterian system, including the AOV and common bile duct, is significant to appropriate patient management. However, discriminating between benign and malignancy is highly challenging. Patients are frequently mistaken as having periampullary malignancy, thereby leading to unnecessary extensive surgical resection with a high risk of complications. Patient Concerns: A 47-year-old woman visited a local hospital owing to epigastric and right upper-quadrant abdominal pain for 2 days. Diagnoses: Abdominal ultrasonography performed in the local hospital revealed suspicious of a distal common bile duct malignancy. She was transferred to our hospital for further evaluation and management. Interventions: After consulting with the patient, a multidisciplinary team, including a gastroenterologist, finally decided to perform surgery under the impression of an ampullary malignancy, and pylorus-preserving pancreatoduodenectomy was performed without any complications. She was histopathologically diagnosed with an adenomyoma of the AOV. Outcomes: At the 5-year follow-up, she was well and did not develop further symptoms or complications. Lessons: Although adenomyoma is very rare, it should be included in the differential diagnosis of mass-like lesions of the AOV to avoid unnecessary surgeries. Competing Interests: The authors have no funding and conflicts of interest to disclose. (Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.) |
| References: | Hammarström LE, Holmin T, Stenram U. Adenomyoma of the ampulla of Vater: an uncommon cause of bile duct obstruction. Surg Laparosc Endosc. 1997;7:388–93. Gialamas E, Mormont M, Bagetakos I, et al. Combination of adenomyoma and adenomyomatous hyperplasia of the ampullary system: a first case report. Int J Surg Pathol. 2018;26:644–8. Bedirli A, Patiroglu TE, Sozuer EM, et al. Periampullary adenomyoma: report of two cases. Surg Today. 2002;32:1016–8. Gouveia C, Fidalgo C, Loureiro R, et al. Adenomyomatosis of the common bile duct and ampulla of Vater. GE Port J Gastroenterol. 2021;28:121–33. Kumari N, Vij M. Adenomyoma of ampulla: a rare cause of obstructive jaundice. J Surg Case Rep. 2011;2011:6. Khan R, Tanimu S. Adenomyomatous hyperplasia of the ampulla of vater presenting as acute pancreatitis. BMJ Case Rep. 2014;2014:bcr2013203151. Kwon TH, Park DH, Shim KY, et al. Ampullary adenomyoma presenting as acute recurrent pancreatitis. World J Gastroenterol. 2007;13:2892–4. Menzel J, Poremba C, Dietl KH, et al. Tumors of the papilla of Vater – inadequate diagnostic impact of endoscopic forceps biopsies taken prior to and following sphincterotomy. Ann Oncol. 1999;10:1227–31. Kayahara M, Ohta T, Kitagawa H, et al. Adenomyomatosis of the papilla of Vater: a case illustrating diagnostic difficulties. Dig Surg. 2001;18:139–42. D’Assuncao MA, Armellini ST, Moribe D, et al. Adenomyoma of the common bile duct: a rare lesion diagnosed and treated by ERCP. Endoscopy. 2016;48(Suppl 1):E266–7. |
| تواريخ الأحداث: | Date Created: 20230616 Date Completed: 20230619 Latest Revision: 20230916 |
| رمز التحديث: | 20230916 |
| مُعرف محوري في PubMed: | PMC10270535 |
| DOI: | 10.1097/MD.0000000000034080 |
| PMID: | 37327261 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1536-5964 |
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| DOI: | 10.1097/MD.0000000000034080 |