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空腸에 發生한 異所性膵臟

Hetertopic Pancreas

대한외과학회지 1967년 9권 1호 p.797 ~ 801
孫光鉉, 金永培, 池堤根,
소속 상세정보
孫光鉉 (  ) - 공군 항공의료원 외과
金永培 (  ) - 공군 항공의료원 외과
池堤根 (  ) - 공군 항공의료원 병리과

Abstract


Authors presented a case of heterotopic pancreas in the jejunum that was found incidentally during an exploratory laparatomy for the traumatic injury in the left flank of a twenty three-year old ROKAF officer.
Upon the laparotomy, there were found an extensive retro-peritoneal hemorrhage and diffuse subserosal hemorrhage in left half of the colon. And, a soft boggy mass in the wall of proximal jejunum, 60 cm. distal from the Treitz ligament was also found. Grossly, it was a well circumscribed grayish tumor that was lobulated, measuring 2.0 cm. in diameter, being located in the submucosa. Microscopically it was composed of every pancreatic elements, i.e., pancreatic acini, Langerhans islets, intercalated ducts and even a large duct with typical lining epithelium. Langerhans islets were never scarcely distributed. No evidence of proliferation or chronic inflammation in the heterotopic tissue was observed in the sections.
A brief review of literature was also given concerning the formal pathogenesis of heterotopic pancreas.

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