A CASE OF ANOMALOUS ARRANGEMENT OF THE PANCREATICOBILIARY DUCTAL SYSTEM DETECTED BY THICKENED GALL BLADDER WALL

Terumi KAMISAWA; Tomoaki ISAWA; Naoto EGAWA; Yuyang TU; Shunichi SAEKI; Tsuyoshi TAJIMA; Kouji TSURUTA; Atsutake OKAMOTO; Mono KOIKE

doi:10.11280/gee1973b.35.1058

Terumi KAMISAWA, Tomoaki ISAWA, Naoto EGAWA, Yuyang TU, Shunichi SAEKI, Tsuyoshi TAJIMA, Kouji TSURUTA, Atsutake OKAMOTO, Mono KOIKE

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Terumi KAMISAWA
Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Tomoaki ISAWA
Department of Surgery, Tokyo Metropolitan Komagome Hospital.
Naoto EGAWA
Department of Surgery, Tokyo Metropolitan Komagome Hospital.
Yuyang TU
Department of Surgery, Tokyo Metropolitan Komagome Hospital.
Shunichi SAEKI
Department of Surgery, Tokyo Metropolitan Komagome Hospital.
Tsuyoshi TAJIMA
Department of Surgery, Tokyo Metropolitan Komagome Hospital.
Kouji TSURUTA
Department of Surgery, Tokyo Metropolitan Komagome Hospital.
Atsutake OKAMOTO
Department of Pathology, Tokyo Metropolitan Komagome Hospital.
Mono KOIKE
Department of Pathology, Tokyo Metropolitan Komagome Hospital.

JOURNAL FREE ACCESS

1993 Volume 35 Issue 5 Pages 1058-1065

DOI https://doi.org/10.11280/gee1973b.35.1058

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Abstract

A 30-year-old female was admitted to our hospital asymptomatically for the evalua-tion of liver dysfunction. Ultrasonography showed thickening of gall bladder wall and gall bladder polyp. ERCP demonstrated anomalous arrangement of the pancreaticobiliary ductal system without dilatation of the common bile duct and fuzzy irregularity of the gall bladder wall. Cholecystectomy was performed. Histologically hyperplasia of mucosa and hyperplastic polyps were detected in the gall bladder wall. ERCP should be performed to detect the non-biliary dilated anomalous arrangement of the pancreaticobiliary system for patients with thickening of the gall bladder wall by US.

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