Hashimoto Yasushi, Ross Andrew S, Traverso L William
Department of General, Vascular, and Thoracic Surgery and Gastroenterology, Virginia Mason Medical Center, Seattle, WA 98111, USA.
Pancreas. 2009 Aug;38(6):713-5. doi: 10.1097/MPA.0b013e3181a910ca.
There have been 6 cases of circumportal pancreas reported, and 2 of them had the main pancreatic duct in a retroportal dorsal portion. This extremely uncommon anomaly is asymptomatic and therefore incidentally discovered. For the surgeon, it is important to discover this during pancreatic resection so the pancreatic duct can be closed and fistula is avoided. We describe the third case where a circumportal pancreas had its main pancreatic duct passing under the portal vein. The duct was identified and ligated. A fistula did not occur.
已有6例关于门静脉周围胰腺的报道，其中2例主胰管位于门静脉后方的背侧部分。这种极为罕见的异常情况无症状，因此是偶然发现的。对于外科医生来说，在胰腺切除术中发现这一情况很重要，这样就能闭合胰管并避免发生瘘。我们描述了第三例门静脉周围胰腺主胰管从门静脉下方穿过的病例。该胰管被识别并结扎。未发生瘘。
