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Xanthogranulomatous pancreatitis treated by duodenum-preserving pancreatic head resection

查看全文 作  者:Alper [1]Uguz;Sava■ [1]Yakan;Baris [1]Gurcu;Funda [2]Yilmaz;Tankut [3]Ilter;Ahmet [1]Coker 高影响力作者 机构地区:[1]Department of Surgery,Hepatopancreatobiliary Division,Ege University Faculty of Medicine;[2]Department of Pathology,Ege University Faculty of Medicine;[3]Department of Gastroenterology,Ege University Faculty of Medicine高影响力机构 出  处:《Hepatobiliary & Pancreatic Diseases International》索引2010年第9卷第2期,共3页高影响力期刊 摘  要:BACKGROUND:Xanthogranulomatosis is an idiopathic,rare process in which lipid-laden histiocytes are deposited at various locations in the body.We present two cases who were treated by duodenum-preserving pancreatic head resection and eventually diagnosed as having xanthogranulomatous pancreatitis. METHODS:A 30-year-old caucasian man was admitted to our clinic for vague abdominal pain and epigastric dullness. Magnetic resonance cholangiopancreatography and endoscopic retrograde pancreatography suggested the existence of chronic pancreatitis.Another 34-year-old caucasian woman was admitted to our clinic because of right upper quadrant pain. Magnetic resonance cholangiopancreatography demonstrated a dilatation and stone of the main pancreatic duct.Based on a diagnosis of chronic pancreatitis,pancreatic head resection was planned and a laparotomy was performed in both of cases. RESULTS:In both cases,duodenum-preserving pancreatic head resection was performed.Macroscopic and microscopic findings revealed xanthogranulomatous inflammation,which led to a diagnosis of xanthogranulomatous pancreatitis. CONCLUSION:Although this type of pancreatitis is extremely rare,it is important to keep it in mind for a differential diagnosis because it may simulate chronic pancreatitis or a malignant tumor on imaging. 关 键 词:XANTHOGRANULOMATOUS PANCREATITIS PANCREATIC HEAD RESECTION
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