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Successful outcome of retrograde pancreatojejunostomy for chronic pancreatitis and infected pancreatic cysts:A case report

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World Journal of Clinical Cases 2021年第24期9卷 7224-7230页

作者： Koichi Kimura Eisuke Adachi Ayako Toyohara sachie omori Kaoru Ezaki Ryo Ihara Takahiro Higashi Kippei Ohgaki Shuhei Ito Shin-ichiro Maehara Toshihiko Nakamura Yoshihiko Maehara Department of Surgery Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan Department of Internal Medicine Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan

BACKGROUND Chronic pancreatitis occasionally requires surgical treatment that can be performed with various ***,this type of surgery presents with postoperative *** report a case of a successful retrograde pancreatojejunostomy for chronic pancreatitis and infected pancreatic *** SUMMARY A 62-year-old male with a 10-year history of chronic pancreatitis presented with epigastric pain for one week and a 20 kg weight loss over one *** tomography showed stones in the pancreas(mainly the head),expansion of the main pancreatic duct,and thinning of the pancreatic *** resonance imaging showed infected pancreatic cysts connected to the stomach with a fistula from the splenic hilum to the caudal portion of the liver’s lateral *** endoscopic retrograde pancreatography was performed;the guide wires could not pass through the stones in the pancreas and therefore,drainage of the main pancreatic duct was not ***,a distal pancreatomy and splenectomy were performed;however,the pancreatic juice in the remaining parenchyma was blocked by the ***,we performed a retrograde pancreatojejunostomy and Roux-en-Y *** patient had no postoperative complications and was discharged from the hospital on postoperative day *** A distal pancreatomy,retrograde pancreatojejunostomy,and Roux-en-Y anastomosis could be an effective surgical procedure for intractable chronic pancreatitis.

关键词： Chronic pancreatitis Infected pancreatic cyst Distal pancreatomy Retrograde pancreatojejunostomy Pancreatic stones Case report

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Schwannoma mimicking pancreatic carcinoma:A case report

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World Journal of Clinical Cases 2021年第17期9卷 4453-4459页

作者： Koichi Kimura Eisuke Adachi Ayako Toyohara sachie omori Kaoru Ezaki Ryo Ihara Takahiro Higashi Kippei Ohgaki Shuhei Ito Shin-ichiro Maehara Toshihiko Nakamura Fumiyoshi Fushimi Yoshihiko Maehara Department of Surgery Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan Department of Internal Medicine Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan Department of Histopathology Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan

BACKGROUND Schwannoma of the pancreas is extremely *** report a case of pancreatic schwannoma that was difficult to distinguish from pancreatic carcinoma before *** SUMMARY A 66-year-old male underwent a right-lobe hepatectomy for hepatocellular ***-surgical computed tomography showed a 10 mm long solid mass with ischemia,with no expansion into the main pancreatic *** magnetic resonance cholangiopancreatography,the tumor had high signal intensity in diffusion weighted images,consistent with pancreatic *** ultrasound(EUS)was performed to obtain more information about the tumor,and showed a 14 mm solid and hypoechoic mass in the pancreatic *** enhanced EUS revealed that the tumor showed a hyperechoic mass in the early phase,and the contrasting effect continuation was very short;findings also consistent with pancreatic ***,we preoperatively diagnosed his condition as a pancreatic carcinoma and performed distal pancreatectomy with *** examination showed that the tumor was in fact a benign *** showed a proliferation of spindle-shaped cell in a vague fascicular and haphazard pattern,with palisading *** Schwannoma of the pancreas is very rare,however,clinicians should consider schwannoma as the differential diagnosis for pancreatic tumors.

关键词： Schwannoma Pancreatic body Pancreatic carcinoma Pancreatic tumor Distal pancreatectomy Case report

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