Heterotopes Pankreasgewebe in der Hepatikusgabel

Heer, Christian; Pförtner, M.; Hamberger, U.; Raute-Kreinsen, U; Hanraths, M.; Bartsch, Detlef K.

doi:10.1007/s00104-009-1674-3

Cited by 13 publications

(3 citation statements)

References 7 publications

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“…Ormond's disease characterized by retroperitoneal fibrosis may present with hilar inflammatory stricture [122]. Heterotopic pancreatic tissue is commonly found in the stomach and duodenum but may occur in the hilar confluence [123] as can heterotopic gastric mucosa [124]. Cholecystohepatic duct with absence of common hepatic duct where the right and left ducts drain into the gall bladder has been mistaken for a malignant hilar stricture on preoperative imaging [125].…”

Section: Miscellaneousmentioning

confidence: 99%

Klatskin-Like Lesions

Kumar

Marudanayagam

2012

HPB Surgery

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Hilar cholangiocarcinoma, also known as Klatskin tumour, is the commonest type of cholangiocarcinoma. It poses unique problems in the diagnosis and management because of its anatomical location. Curative surgery in the form of major hepatic resection entails significant morbidity. About 5–15% of specimens resected for presumed Klatskin tumour prove not to be cholangiocarcinomas. There are a number of inflammatory, infective, vascular, and other pathologies, which have overlapping clinical and radiological features with a Klatskin tumour, leading to misinterpretation. This paper aims to summarise the features of such Klatskin-like lesions that have been reported in surgical literature.

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Section: Miscellaneousmentioning

confidence: 99%

Klatskin-Like Lesions

Kumar

Marudanayagam

2012

HPB Surgery

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“…The presence of heterotopic pancreas in the hepatobiliary system [14] is rare compared with that in the gastrointestinal tract [15]. Indeed, 29 adenocarcinomas have been reported in heterotopic pancreas localized in gastrointestinal tracts [16].…”

Section: Discussionmentioning

confidence: 99%

Intrahepatic peribiliary perivascular epithelioid cell tumor (PEComa) associated with heterotopic pancreas: A case report

et al. 2016

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BackgroundPerivascular epithelioid-cell tumor (PEComa) is a group of rare mesenchymal neoplasms that express myomelanocytic-cell markers and exhibit a wide variety of histopathological features. Although heterotopic pancreas has been reported to occur in the gastrointestinal tract, intrahepatic heterotopic pancreas has been reported only rarely.Case presentationWe present a case of intrahepatic PEComa that showed a strong regional correlation with the presence of heterotopic pancreas. An intrahepatic tumor and biliary dilatation was incidentally discovered during a diagnostic evaluation to investigate low-back pain in a 47-year-old Japanese male. Cholangiocarcinoma was suspected and a left hemihepatectomy performed. Histological examination revealed a 3 × 3.8-mm tumor in the neighboring B2 bile duct. Histological and immunohistochemical investigations revealed the presence of a PEComa and pancreatic acini within the tumor mass. PEComa in the hepatobiliary and pancreatic regions are extremely rare. The presence of heterotopic pancreas is also relatively uncommon.ConclusionThe strong regional association of these 2 lesions raises the possibility of a PEComa originating from heterotopic pancreas or from an irritable response caused by heterotopic pancreas.

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“…Less frequently, it is observed in the liver, gallbladder, bile duct system, and papilla of Vater. [1] HP is known to be associated with various associated anomalies like malrotation, small intestinal atresias, biliary atresias, congenital diaphragmatic hernias, Meckel's diverticuli, annular pancreas and esophageal atresias. [23] There have been isolated case reports of the presence of HP within the choledochal cyst (CC).…”

Section: Introductionmentioning

confidence: 99%

Heterotopic pancreas causing duodenal obstruction in a patient previously treated for choledochal cyst

Deshpande

Raghunath

Sarin

et al. 2012

J Indian Assoc Pediatr Surg

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A 9-year-old boy presented with duodenal pancreatic rest causing obstruction and required surgical intervention. He had been treated at the age of 4 months for a choledochal cyst. Both choledochal cyst and heterotopic pancreas are entities that are commonly encountered in children, but the incidental presence of both the entities in the same child, albeit presenting metachronously, is extremely rare.

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Heterotopes Pankreasgewebe in der Hepatikusgabel

Cited by 13 publications

References 7 publications

Klatskin-Like Lesions

Klatskin-Like Lesions

Intrahepatic peribiliary perivascular epithelioid cell tumor (PEComa) associated with heterotopic pancreas: A case report

Heterotopic pancreas causing duodenal obstruction in a patient previously treated for choledochal cyst

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