Korean J Gastrointest Endosc > Volume 17(4); 1997 > Article
Korean Journal of Gastrointestinal Endoscopy 1997;17(4): 574-581.
증례 : 담도 췌장 ; 급성 췌장염을 동반한 췌장의 Mucinous Ductal Ectasia 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of Mucinous Ductal Ectasia of the Pancreas Presented with Acute Pancreatitis )
양웅석, 송철수, 조몽, 박성민, 송근암, 김사웅, 김광하, 김병진, 허정 (Ung Suk Yang, Chul Soo Song, Mong Cho, Sung Min Park, Geun Am Song, Sa Woong Kim, Gwang Ho Kim, Byung Jin Kim and Jeong Heo)
We have experienced a case of mucinous ductal ectasia of the pancreas. The patient visited hospital with the symptoms of acute pancreatitis. The plasma levels of amylase and lipase checked at hospital were elevated. Abdominal ultrasonography and CT scan showed cystlike, intrapancreatic defects localized in the uncinate process of pancreatic head, On duodenoscopy, bulging ampulla of Vater and patulous papillary orifice were seen. Mucin leaked out of the patulous opening. Endoscopic retrograde pancreatography was performed and the localized, grape-like cyatic dilatation of the side branch of a main pancreatic duct on the uncinate process was shown. The main pancreatic duct was also dilated and had multiple filling defects in it. Whipple' s operation was performed and the histologic diagnosis was a benign intraductal papillary mucinous neoplasm of the pancreas. (Korean J Gastrointest Endosc 17: 574-580, 1997)
Key Words: Mucinous ductal ectasia , Pancreas , Acute pancreatitis
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