Romboli E, Campana D, Piscitelli L, Brocchi E, Barbara G, D'Errico A, Fusaroli P, Corinaldesi R, Pezzilli R
Department of Internal Medicine and Gastroenterology, Sant'Orsola Hospital, Alma Mater Studiorum University of Bologna, Via Massarenti 9, 40138 Bologna, Italy.
Dig Liver Dis. 2004 Mar;36(3):222-7. doi: 10.1016/j.dld.2003.09.020.
We report a case of serum pancreatic hyperenzymemia as a primary manifestation of sarcoidosis; pancreatic involvement was confirmed by endoscopic ultrasonography which revealed a notable glandular fibrosis of the pancreas. It is important that patients with systemic sarcoidosis who have increased serum levels of amylase and lipase be checked in order to detect the presence of possible pancreatic involvement. Endoscopic ultrasonography represents the technique of choice used to confirm the clinical suspicion of pancreatic inflammation.
我们报告一例以血清胰腺酶血症为结节病主要表现的病例;内镜超声检查证实胰腺受累,显示胰腺有明显的腺纤维化。对于全身性结节病且血清淀粉酶和脂肪酶水平升高的患者,进行检查以检测是否存在可能的胰腺受累非常重要。内镜超声检查是用于证实临床怀疑胰腺炎症的首选技术。