Die Heterotopien des ortsgehörigen Epithels im Bereich des Verdauungskanals

Lauche, A.

doi:10.1007/bf01960720

Cited by 52 publications

(4 citation statements)

References 21 publications

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“…The small pancreatic ducts and ductules in our case 1 are the counterparts of what Lauche (1924) called 'incompletely differentiated aberrant pancreas', an excess of duct structures which were not readily related to adult pancreas. The prevalence of Brunner's glands in the lesion was called by Stewart and Taylor (1925) adenomyoma, a term earlier employed for a variety of lesions composed of epithelial structures and smooth muscle in the absence of exocrine pancreatic glands or islets of Langerhans (Askanazy, 1923;Delhougne, 1924;Lauche, 1924). The presence of Brunner's glands, together with pancreatic tissue, in the pyloric lesions is referred to in standard works (Stout, 1953;Willis, 1958;Ackerman, 1964).…”

Section: Discussionmentioning

confidence: 57%

“…Structures described as embryonic, undifferentiated, or incompletely differentiated ducts are often associated with aberrant pancreas at any site, and are not then considered to be a separate entity (Taylor, 1927). The small pancreatic ducts and ductules in our case 1 are the counterparts of what Lauche (1924) called 'incompletely differentiated aberrant pancreas', an excess of duct structures which were not readily related to adult pancreas. The prevalence of Brunner's glands in the lesion was called by Stewart and Taylor (1925) adenomyoma, a term earlier employed for a variety of lesions composed of epithelial structures and smooth muscle in the absence of exocrine pancreatic glands or islets of Langerhans (Askanazy, 1923;Delhougne, 1924;Lauche, 1924).…”

Section: Discussionmentioning

confidence: 67%

“…The diffuse thickening of the pyloric muscle and excess of smooth muscle in the submucosa does not resemble any neoplasm of smooth muscle. It would seem appropriate to keep the term adenomyoma for a lesion composed of Brunner's glands, ducts, and smooth muscle without or with a pancreatic element because of its distinct appearance at a site where it is likely to be noticed, while agreeing with Clarke (1940) and Lauche (1924) that it is but one of a range of related abnormalities.…”

Section: Discussionmentioning

confidence: 79%

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Adenomyoma in the pylorus.

Janota¹,

Smith²

1966

Gut

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EDITORIAL SYNOPSIS Two cases of adenomyoma, composed chiefly of Brunner's glands, ducts, and smooth muscle, involving the submucosa and muscle of the pylorus, are described and discussed.Gland structures in the submucosa and muscle other than carcinoma are amongst the infrequent lesions of the pyloric region of the stomach. While pancreatic tissue accounts for a majority, adenomyoma is rare. Two further examples were recently encountered in partial gastrectomy specimens, and the cases are presented.CASE REPORTS CASE 1 A 27-year-old man had epigastric pain, relieved by antacids, occurring two hours after meals, for three years. A clinical diagnosis of peptic ulcer was made. At laparotomy a hard white thickening of the pylorus was found. Partial gastrectomy with closure of the duodenal stump and anastomosis of the stomach and jejunum was performed.Naked-eye examination revealed a localized thickening up to 1 5 cm., involving the muscle and submucosa of the anterior wall and lesser curve of the pyloric canal for 2 cm., extending into the pyloric sphincter, with minute spaces scattered through the submucosa and muscle. CASE 2 A 39-year-old woman was treated medically for recurring epigastric and lower chest pain for 12 years. The pain occurred shortly after meals, was aggravated by food, and there were exacerbations with vomiting. A prepyloric gastric ulcer was repeatedly demonstrated by barium meal x-ray examinations, which also showed a persistent narrowing of the pyloric canal with two shallow narrow tracks. Eventually a laparotomy showed, apart from an ulcer in the lesser curve of the stomach, a large firm mass in the anterior wall of the pyloric, region and a partial gastrectomy and gastroduodenostomy was performed.Naked-eye examination showed narrowing of the pyloric canal by a thickening of the submucosa and muscle anteriorly for about 2 cm. The submucosa was firm, grey, up to 0 5 cm. thick, and the muscle up to 1-2 cm. thick. There were spaces in the submucosa and in the underlying part of the muscle.Present address:

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 79%

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Adenomyoma in the pylorus.

Janota¹,

Smith²

1966

Gut

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“…Von einigen Autoren werden die Duodenalwandzysten als »formes frustes« von Dünndarmduplikaturen, sogenannten enterogenen Zysten, angesehen (1,9). Als Erklärung für die Entstehung von Duodenalwandzysten kann aber auch das Konzept der dysontogenetischen Heterotopien von Lauche (6) Auch unter Einsatz maximaler invasiver Diagnostik bleibt die klinische Diagnose einer Duodenalwandzyste eine Rarität, weil der Nachweis einer solchen Läsion von den individuellen Gegebenheiten wie Größe und Füllungszustand der Zyste sowie von einer möglichen Kompression des Pankreasgangs und einer begleitenden Duodenalwandinfiltration abhängt.…”

Section: Apparativeunclassified

Ungewöhnlicher »tumorartiger Befund« zwischen Pankreaskopf und Duodenalwand

Palitzsch¹,

Back²,

Raute³

et al. 2008

Dtsch med Wochenschr

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A 48-year-old woman complained of right-sided upper abdominal pain and recurrent vomiting, and had lost 10 kg in 4 months. Ultrasound and computed tomography showed a solid, space-occupying lesion in the head of the pancreas, not separable from the duodenum. Despite thorough investigation the nature of the lesion remained obscure. Operation revealed a divided pancreas with stenosis of the accessory duct at the papilla. Histological examination showed pseudosarcomatous myofibroblastic proliferation within the duodenal wall in the vicinity of a duodenal wall cyst which had been destroyed by inflammation. In cases of divided pancreas it is the accessory duct which drains the main bulk of the pancreas, while the main duct carries little or no secretion; the stenosis of the accessory duct in this patient had therefore led to low-grade pancreatitis involving the head of the pancreas.

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On severe intestinal hæmorrhage due to myomatous tumour of the jejunum with a note on bleeding myomata of the small intestine

Gordon‐Taylor¹

1944

Journal of British Surgery

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Die Heterotopien des ortsgehörigen Epithels im Bereich des Verdauungskanals

Cited by 52 publications

References 21 publications

Adenomyoma in the pylorus.

Adenomyoma in the pylorus.

Ungewöhnlicher »tumorartiger Befund« zwischen Pankreaskopf und Duodenalwand

On severe intestinal hæmorrhage due to myomatous tumour of the jejunum with a note on bleeding myomata of the small intestine

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