十二指肠重复囊肿导致严重胰腺炎：影像学表现及病理相关性
Duodenal duplication cyst causing severe pancreatitis: imaging findings and pathological correlation.
作者信息
Guarise Alessandro, Faccioli Niccolo', Ferrari Mauro, Romano Luigi, Parisi Alice, Falconi Massimo
机构信息
Department of Radiology, University of Verona, Policlinico G.B. Rossi, Piazzale L.A. Scuro 37134 Verona, Italy.
出版信息
World J Gastroenterol. 2006 Mar 14;12(10):1630-3. doi: 10.3748/wjg.v12.i10.1630.
Abstract
We here report a case of a 18-year-old man with a history of recurrent abdominal pain and a previous episode of severe acute pancreatitis. Abdominal ultrasonography, contrast enhanced multislice computer tomography, endoscopic retrograde cholangiopancreatography, endoscopic ultrasonography and magnetic resonance imaging demonstrated a cystic mass lesion. Only on delayed phase magnetic resonance images after Gadolinium-BOPTA injection, it was possible to demonstrate the lesionos relationship with the biliary tree, differentiating the lesion from intraluminal duodenal diverticulum, and to achieve the diagnosis of duodenal duplication cyst, a recognized rare cause of acute pancreatitis. The diagnosis was confirmed by histology.
摘要
我们在此报告一例18岁男性患者，有反复腹痛病史，曾有一次严重急性胰腺炎发作。腹部超声、多层螺旋计算机断层扫描增强造影、内镜逆行胰胆管造影、内镜超声及磁共振成像均显示有一个囊性肿块病变。仅在注射钆布醇后延迟期磁共振图像上，才有可能显示该病变与胆管树的关系，将该病变与腔内十二指肠憩室区分开来，并确诊为十二指肠重复囊肿，这是一种公认的急性胰腺炎罕见病因。组织学检查证实了诊断。
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