Diagnosis and treatment of familial adenomatous polyposis combined with adenomas in the common bile duct
10.3760/cma.j.issn.1673-9752.2015.11.017
- VernacularTitle:家族性腺瘤性息肉病合并胆总管腺瘤的诊断与治疗
- Author:
Juanyong PAN
;
Maolin YAN
;
Yaodong WANG
;
Zhide LAI
;
Zhong CHEN
- Publication Type:Journal Article
- Keywords:
Familial adenomatous polyposis;
Adenoma;
Common bile duct;
Pancreaticduodenectomy;
Total colectomy
- From:
Chinese Journal of Digestive Surgery
2015;14(11):968-970
- CountryChina
- Language:Chinese
-
Abstract:
Familial adenomatous polyposis is characterized by the multiple and adenomatous polyps in the colorectum combined with polyps in the stomach and duodenum, while it is rarely seen in the common bile duct (CBD).In July 2013, 1patient with FAP combined with adenomas in the CBD was admitted to the Fujian Provincial Hospital.The patient underwent laparoscopic CBD exploration and resection of masses due to acute pancreatitis 11 months ago, and was confirmed as with adenoma in the distal CBD by postoperative pathological examination.Multiple polyps were found in the stomach, duodenum,CBD, colorectum after admission to hospital, biopsy confirmed that polyps were tubular adenoma.The patient received pancreaticduodenectomy and was diagnosed as with duodenum-CBD tubular adenoma in postoperative pathological examination.The patient was followed up by telephone interview and outpatient examination and had a full recovery, in addition to the increasing of stools frequency and occasioned hematochezia, and then was treated by total colectomy at postoperative month 7.The tubular adenoma was confirmed by postoperative pathological examination.
