Heresbach D, Ropert A, Raoul J L, Siproudhis L, Ramée M P, Bretagne J F, Gosselin M
Service d'Hépato-Gastroentérologie, CHU Pontchaillou, Rennes.
Gastroenterol Clin Biol. 1991;15(10):766-70.
Gastroduodenal duplication is a rare congenital entity. Preoperative diagnosis is difficult because symptoms are usually non specific and can mimick pancreatitis. We report 2 cases of gastric and duodenal cystic duplication in adults presenting as pancreatitis. Chronic pancreatitis was observed on endoscopic retrograde pancreatography and confirmed at laparotomy in both cases. Pancreatitis was probably related to alcoholism in one case, but might have been secondary to duplication in the other. In both cases, duplication was misinterpreted initially as a pseudocystic complication of pancreatitis until laparotomy was performed. These 2 cases lead us to discuss the relationship between duplication and pancreatitis.
胃十二指肠重复畸形是一种罕见的先天性疾病。术前诊断困难,因为症状通常不具特异性,可类似胰腺炎。我们报告2例成人胃和十二指肠囊性重复畸形表现为胰腺炎的病例。两例经内镜逆行胰胆管造影均观察到慢性胰腺炎,并在剖腹手术中得到证实。其中1例胰腺炎可能与酒精中毒有关,但另一例可能继发于重复畸形。在两例中,重复畸形最初均被误诊为胰腺炎的假性囊肿并发症,直至进行剖腹手术。这2例病例促使我们探讨重复畸形与胰腺炎之间的关系。