Ampullary adenomyoma presenting as acute recurrent pancreatitis.
Adenomyoma is a term generally applied to nodular lesions showing proliferation of both epithelial and smooth muscle components. Despite its benign nature, ampullary adenomyoma is usually presented as biliary obstruction. Most cases are misdiagnosed as carcinoma or adenoma by preoperative endoscopic or radiologic procedure. Therefore, it is frequently treated with extensive surgery. To our knowledge, this is the first reported case in English literature of adenomyoma located in the peripancreatic orifice resulting in intermittent pancreatic duct obstruction and recurrent pancreatitis diagnosed by the endoscopic piecemeal resection.
Kwon
Tae-Hee
TH
Division of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University Cheonan Hospital 23-20 Bongmyung-dong, Cheonan, Choongnam 330-721, Korea.
Park
Do Hyun
DH
Shim
Kwang Yeon
KY
Cho
Hyun-Deuk
HD
Park
Jeong Hoon
JH
Lee
Suck-Ho
SH
Chung
Il-Kwun
IK
Kim
Hong-Soo
HS
Park
Sang-Heum
SH
Kim
Sun-Jjoo
SJ
D000208:Acute Disease; D018194:Adenomyoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology; D003138:Common Bile Duct Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D012008:Recurrence