Female
19yo with headache and abdominal peristaltic pain. In check- up of abdomen, ultrasound detected one subhepatic
mass moving with respiration, size of 6 cm, hypoechoic, hypervascular, not
attached to any organ in abdomen ( US 1, US 2) .
Upon MSCT with CE, this mass is very fast CE enhanced, same time with pancreas ( CT1, CT2).
Upon MSCT with CE, this mass is very fast CE enhanced, same time with pancreas ( CT1, CT2).
Blood tests are
normal. And gastro-colonoscopy is normal.
Discussion: CT and ultrasound showed this tumor in abdomen near the liver
border and duodenum while scanning in
standing position this mass moving
to right iliac fossa. One surgeon said may be GIST.
Endolaparoscopic operarion detected this mass is covered by great omentum (see foto 1) with very long pedicule due to great vascular supply (foto 2).
Removed this mass and macroscopic this tissue looked like pancreas tissue (foto 3, 4).
Microscopic report is adenoma of pancreas.
Endolaparoscopic operarion detected this mass is covered by great omentum (see foto 1) with very long pedicule due to great vascular supply (foto 2).
Removed this mass and macroscopic this tissue looked like pancreas tissue (foto 3, 4).
Microscopic report is adenoma of pancreas.
No comments:
Post a Comment