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首页> 外文期刊>Journal of hepato-biliary-pancreatic surgery >Intraductal papillary mucinous neoplasm of the pancreas with a bifid pancreatic duct.
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Intraductal papillary mucinous neoplasm of the pancreas with a bifid pancreatic duct.

机译：胰管内乳头状黏液性肿瘤伴双歧胰管。

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摘要

A bifid pancreatic duct presenting a major bifurcation in the main pancreatic duct is one of the anatomical variations of the pancreatic ducts. We encountered a 71-year-old female with a 5-cm-diameter branch duct intraductal papillary mucinous neoplasm of the pancreas in whom preoperative endoscopic retrograde pancreatography demonstrated an anomalous bifurcation of the main pancreatic duct at the body of the pancreas. We performed a distal pancreatectomy, instead of a middle pancreatectomy, with a cutting line at the downstream pancreas to the duct bifurcation point. Intraoperative ultrasonography was useful to confirm the exact location of the pancreatic duct bifurcation as well as the tumor extension. The procedure resulted in a favorable outcome without any postoperative complications. Although a bifid pancreatic duct is an unusual anomalous condition, this case should alert surgeons to be aware of such anatomical variants when performing pancreatic resection, otherwise, incurable pancreatic complications may occur postoperatively.
机译：在主胰管中呈现主要分叉的双胰管是胰管的解剖学变异之一。我们遇到了一位71岁的女性，该女性的胰管直径为5厘米，是胰导管内乳头状粘液性肿瘤，术前内镜逆行胰管造影显示胰体主胰管异常分叉。我们进行了远端胰腺切除术，而不是中间胰腺切除术，并在下游胰腺至导管分叉点处设置了切割线。术中超声检查有助于确认胰管分叉的确切位置以及肿瘤的扩展。该程序产生了良好的结果，没有任何术后并发症。尽管双歧胰管是一种异常异常情况，但这种情况应提醒外科医生在进行胰腺切除术时要注意这种解剖学变异，否则，术后可能会发生无法治愈的胰腺并发症。

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