Wind P, Pardies P, Roullet M H, Rouzier R, Zinzindohoué F, Cugnenc P H
Service de Chirurgie Générale et Digestive, Hôpital Laennec, Paris.
Ann Chir. 1999;53(2):164-7.
Cystic dystrophy of the duodenal wall developing in heterotopic pancreas is rare. Pancreaticoduodenectomy is usually advocated in cases of symptomatic cystic dystrophy without chronic pancreatitis but little is known about long-term results. We report a case of cystic dystrophy of the duodenum wall developing in heterotopic pancreas responsible for abdominal pain and duodenal obstruction associated with chronic pancreatitis. Pancreaticoduodenectomy allowed complete relief of symptoms. Chronic pancreatitis associated with cystic dystrophy may complicate the choice of appropriate therapy.
十二指肠壁囊肿性营养不良在异位胰腺中发生较为罕见。对于无症状性囊肿性营养不良且无慢性胰腺炎的病例,通常主张行胰十二指肠切除术,但关于其长期疗效知之甚少。我们报告一例由异位胰腺引起的十二指肠壁囊肿性营养不良病例,该病例伴有腹痛和十二指肠梗阻,并与慢性胰腺炎相关。胰十二指肠切除术使症状完全缓解。与囊肿性营养不良相关的慢性胰腺炎可能会使合适治疗方法的选择变得复杂。