Total Pancreatectomy for Ampullary Adenocarcinoma in a 74-Year-Old Patient: Case Report and Literature Review
Primary ampullary neoplasms have origin in the ampulla of Vater, an anatomical structure where the common bile duct and the pancreatic duct join together as a common channel. It represents <0.5% of all gastrointestinal cancers and approximately 7% of all periampullary cancers. The adenocarcinomas...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/8879609 |
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| author | Gabriela A. Arroyo Murillo Eleonore Choppin De Janvry Manuela Garofalo Fatima Della Pietra |
| author_facet | Gabriela A. Arroyo Murillo Eleonore Choppin De Janvry Manuela Garofalo Fatima Della Pietra |
| author_sort | Gabriela A. Arroyo Murillo |
| collection | DOAJ |
| description | Primary ampullary neoplasms have origin in the ampulla of Vater, an anatomical structure where the common bile duct and the pancreatic duct join together as a common channel. It represents <0.5% of all gastrointestinal cancers and approximately 7% of all periampullary cancers. The adenocarcinomas arising in this region originate from different epithelial cellular constituents present at the site, the histopathological classification encompass: intestinal type, pancreaticobiliary type, and mixed type. Pancreaticoduodenectomy is the treatment of choice when there is an overt or highly suspicious malignant behaviour. We present here the case of a 74-year-old male patient who presented to our department for further investigation of obstructive jaundice and a pancreatic mass associated with a six-month history of significant weight loss and mild epigastric pain. Eventually, a total splenopancreatectomy was performed given the extension of structural anomalies of the organ secondary to an ampullary adenocarcinoma. |
| format | Article |
| id | doaj-art-e695b804ca754e8d91a33cee118781b6 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-e695b804ca754e8d91a33cee118781b62025-02-03T06:43:44ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/88796098879609Total Pancreatectomy for Ampullary Adenocarcinoma in a 74-Year-Old Patient: Case Report and Literature ReviewGabriela A. Arroyo Murillo0Eleonore Choppin De Janvry1Manuela Garofalo2Fatima Della Pietra3General Surgery and Organ Transplantation Unit, Department of Surgery, University of Rome La Sapienza, Rome, ItalyGeneral Surgery and Organ Transplantation Unit, Department of Surgery, University of Rome La Sapienza, Rome, ItalyGeneral Surgery and Organ Transplantation Unit, Department of Surgery, University of Rome La Sapienza, Rome, ItalyGeneral Surgery and Organ Transplantation Unit, Department of Surgery, University of Rome La Sapienza, Rome, ItalyPrimary ampullary neoplasms have origin in the ampulla of Vater, an anatomical structure where the common bile duct and the pancreatic duct join together as a common channel. It represents <0.5% of all gastrointestinal cancers and approximately 7% of all periampullary cancers. The adenocarcinomas arising in this region originate from different epithelial cellular constituents present at the site, the histopathological classification encompass: intestinal type, pancreaticobiliary type, and mixed type. Pancreaticoduodenectomy is the treatment of choice when there is an overt or highly suspicious malignant behaviour. We present here the case of a 74-year-old male patient who presented to our department for further investigation of obstructive jaundice and a pancreatic mass associated with a six-month history of significant weight loss and mild epigastric pain. Eventually, a total splenopancreatectomy was performed given the extension of structural anomalies of the organ secondary to an ampullary adenocarcinoma.http://dx.doi.org/10.1155/2020/8879609 |
| spellingShingle | Gabriela A. Arroyo Murillo Eleonore Choppin De Janvry Manuela Garofalo Fatima Della Pietra Total Pancreatectomy for Ampullary Adenocarcinoma in a 74-Year-Old Patient: Case Report and Literature Review Case Reports in Surgery |
| title | Total Pancreatectomy for Ampullary Adenocarcinoma in a 74-Year-Old Patient: Case Report and Literature Review |
| title_full | Total Pancreatectomy for Ampullary Adenocarcinoma in a 74-Year-Old Patient: Case Report and Literature Review |
| title_fullStr | Total Pancreatectomy for Ampullary Adenocarcinoma in a 74-Year-Old Patient: Case Report and Literature Review |
| title_full_unstemmed | Total Pancreatectomy for Ampullary Adenocarcinoma in a 74-Year-Old Patient: Case Report and Literature Review |
| title_short | Total Pancreatectomy for Ampullary Adenocarcinoma in a 74-Year-Old Patient: Case Report and Literature Review |
| title_sort | total pancreatectomy for ampullary adenocarcinoma in a 74 year old patient case report and literature review |
| url | http://dx.doi.org/10.1155/2020/8879609 |
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