摘要
The gallbladder is an unusual location of pancreatic heterotopia, defined as the presence of pancreatic tissue lacking anatomical and vascular continuity with the main body of the gland. A 28-year-old man presented with anorexia, nausea and pain in the right upper abdomen. On physical examination, the abdomen was tender to palpation and Murphy sign was positive. The patient underwent a cholecystecomy. This case, in our opinion, is very interesting since it permits to consider a controversial issue in the pathology of the gallbladder. The histological appearance of ductal structure in pancreatic heterotopia resembles the histological picture of both Aschoff-Rokitansky （AR） sinuses and adenomyomas. This finding suggests that these lesions are linked by a common histogenetic origin. We suggest that the finding of an adenomyoma in the gallbladder should prompt an extensive sampling of the organ in order to verify the coexistence of pancreatic rests.
胆囊是胰腺的异位的一个不平常的地点，定义为与腺的主要身体缺乏解剖、脉管的连续性的胰腺的组织的存在。在恰好上面的腹部与厌食，恶心和疼痛介绍的一个 28 岁的人。在体格检查上，腹部对触诊温柔，墨菲符号是积极的。病人经历了 cholecystecomy。这个盒子，自从它允许在胆囊的病理考虑一个争论问题，按照我们的意见很有趣。在胰腺的异位的管的结构的组织学的外观类似于 Aschoff-Rokitansky (AR ) 湾穴和 adenomyomas 的组织学的图画。这发现建议这些损害被普通组织发生的起源连接。我们建议在胆囊发现一个腺肌瘤应该提示机关的广泛的采样以便验证胰腺的休息的共存。
