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首页> 美国卫生研究院文献>BMJ Case Reports >Case Report: Heterotopic pancreatic tissue associated with type 1 choledochal cyst, cystolithiasis and gall bladder stones: a rare entity with review of literature
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Case Report: Heterotopic pancreatic tissue associated with type 1 choledochal cyst, cystolithiasis and gall bladder stones: a rare entity with review of literature

机译：病例报告：异位胰腺组织与1型胆总管囊肿，胆囊结石症和胆囊结石相关：文献复习的罕见实体

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Choledochal cyst is a rare congenital malformation, particularly when associated with stones in cyst (cystolithiasis), gallstones and heterotopic pancreatic tissue within the cyst wall. The current case represents a 5-year-old boy with abdominal pain, pale colored stools, and jaundice. Magnetic resonance cholangiopancreatography showed a cystic lesion, arising from common bile duct with cystolithiasis and cholelithiasis. He underwent excision of choledochal cyst and gallbladder with Roux-en-Y hepaticojejunostomy. Microscopic examination showed a cyst wall composed of fibrocollagenous tissue lined by cuboidal to low columnar epithelium. The subserosal layer of cyst wall showed presence of heterotopic exocrine pancreatic tissue comprising of pancreatic acinar cells and ducts. We report the first case of heterotopic pancreatic tissue associated with choledochal cyst and cystolithiasis and cholelithiasis occurring at the same time.
机译：胆总管囊肿是一种罕见的先天性畸形，特别是与囊肿壁中的结石（囊肿症），胆囊结石和囊壁内的异位胰腺组织相关时。当前的病例代表一个5岁男孩，腹部疼痛，大便颜色浅，黄疸。磁共振胰胆管造影显示胆囊病变，由胆总管结石和胆石症引起。他接受Roux-en-Y肝空肠吻合术切除了胆总管囊肿和胆囊。显微镜检查显示囊壁由纤维胶原组织组成，内衬立方体状至低柱状上皮。囊壁的浆膜下层显示存在异位外分泌胰腺组织，该组织由胰腺腺泡细胞和导管组成。我们报告的第一例异位胰腺组织与同时发生的胆总管囊肿和囊石症和胆石症有关。

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