Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/34487
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    標題: Infected liver cysts resulting from ascending cholangitis and cancer of the ampulla of Vater: A case report
    作者: Hsu, Ming-Tse
    Tsai, Tsung-Jung
    Chen, Chi-Yi
    Chiang, Ching-Chung
    Chen, Chien-Chin
    貢獻者: Ditmanson Med Fdn Chia Yi Christian Hosp, Dept Internal Med, Div Gastroenterol
    Ditmanson Med Fdn Chia Yi Christian Hosp, Dept Surg
    Ditmanson Med Fdn Chia Yi Christian Hosp, Dept Pathol
    Chia Nan Univ Pharm & Sci, Dept Cosmet Sci
    關鍵字: liver cyst
    ampullary cancer
    Vater
    日期: 2021
    上傳時間: 2023-11-11 11:56:57 (UTC+8)
    出版者: WILEY
    摘要: Infected liver cysts may have a unique etiology and require further workup. Generally, large cyst is easy to be symptomatic. In contrast, smaller cyst with infection in our case is associated with ampullar cancer of Vater without typical manifestations of jaundice, body weight loss, and pancreatitis. We presented the case of a 61-year-old man with infected liver cysts, which is confirmed by abdominal computer tomography and liver cysts drainage with bacterial culture. Endoscopic retrograde cholangiopancreatography revealed a swollen papilla of Vater and a dilated common bile duct. Biopsy confirmed adenocarcinoma of the ampulla of Vater. Further surgical pathology revealed communication of bile duct with liver cysts and no evidence of tumor invasion to pancreatic duct and common bile duct. The infected liver cysts may result from ascending cholangitis which is secondary to ampullar cancer. The patient underwent the Whipple procedure, unroofing of the right-side liver cyst, and partial hepatectomy without complications. There is no recurrence of infected liver cyst and cancer till now after follow-up for 3 years. Infected liver cysts are rarely associated with ampullar cancer. Early diagnosis and successful resection of early stage ampullary neoplasm ensure favorable outcomes.
    關聯: ADV DIG MED, v.9, n.2, pp.131-134
    显示于类别:[化妝品應用與管理系(所)] 期刊論文

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