胃内异位胰腺的囊性营养不良合并囊内出血及胃内瘘管形成—— 1例儿科病例
Cystic dystrophy in gastric heterotopic pancreas complicated by intracystic hemorrhage and fistulisation in the stomach - a pediatric case.
作者信息
Stefanescu C, Vullierme M-P, Couvelard A, Bretagnol F, Amouyal P, Maire F, Rebours V, Hammel P, Ruszniewski P, Lévy P
机构信息
Service de gastroentérologie-pancréatologie, pôle des maladies de l'appareil digestif, hôpital Beaujon, AP-HP, 92118 Clichy cedex, France.
出版信息
Gastroenterol Clin Biol. 2008 Jun-Jul;32(6-7):645-8. doi: 10.1016/j.gcb.2008.02.032. Epub 2008 Jun 10.
CONTEXT
Cystic dystrophy of the digestive wall, a rare but well-known complication of heterotopic pancreas when it is located in the duodenum, has been mainly described in adult series. Cystic dystrophy of the heterotopic pancreas within the gastric wall has been reported in only six adult cases. To our knowledge, no pediatric case has been described.
CASE REPORT
We report a 15-year-old boy surgically treated for cystic dystrophy located in the antrum, complicated by an intracystic hemorrhage and fistulisation into the stomach.
CONCLUSION
The diagnosis of heterotopic pancreas must be considered in case of submucosal cystic-gastric lesions, even in pediatric cases. Although the surgical approach is not systematic, it is recommended when cystic dystrophy is symptomatic (e.g., occlusion or hemorrhage).
背景
消化壁囊肿性营养不良是十二指肠异位胰腺罕见但广为人知的并发症，主要在成人病例系列中有所描述。胃壁内异位胰腺的囊肿性营养不良仅在6例成人病例中有报道。据我们所知，尚无儿科病例的描述。
病例报告
我们报告一名15岁男孩，因胃窦部囊肿性营养不良接受手术治疗，并发囊内出血和胃瘘。
结论
即使在儿科病例中，对于黏膜下胃囊性病变也必须考虑异位胰腺的诊断。尽管手术方法并非一成不变，但当囊肿性营养不良出现症状（如梗阻或出血）时，建议进行手术。
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