Offord Stephen, Gumustop Bora, Shepard Arthur
Department of Family Practice, Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866, USA.
Cases J. 2008 Oct 7;1(1):219. doi: 10.1186/1757-1626-1-219.
A 49 year old gentleman presents with recurrent abdominal pain. The patient has a known history of chronic pancreatitis, alcoholism and narcotic addiction. Work-up, including computed tomography (CT) of the abdomen, demonstrated a 5.6 x 5.8 cm fluid collection contiguous with the pancreas. This was not seen on CT 18 months earlier. The patient's pain did not improve with bowel rest and pain control. He was transferred to another institution for endoscopic placement of a transgastric pancreatic stent. The procedure decreased the size the cyst and the patient's pain became more manageable.
一位49岁的男性患者出现反复腹痛。该患者有慢性胰腺炎、酗酒和麻醉药品成瘾的病史。检查,包括腹部计算机断层扫描(CT),显示有一个与胰腺相邻的5.6×5.8厘米的液性病灶。18个月前的CT检查未发现此病灶。患者经肠道休息和疼痛控制后疼痛并未改善。他被转至另一机构进行内镜下经胃胰腺支架置入术。该手术减小了囊肿的大小,患者的疼痛也更易于控制。