由与异常胰管相通的胃重复囊肿引起的复发性急性胰腺炎。
Recurrent acute pancreatitis caused by a gastric duplication cyst communicating with an aberrant pancreatic duct.
作者信息
Oeda Satoshi, Otsuka Taiga, Akiyama Takumi, Ario Keisuke, Masuda Masanori, Taguchi Shohei, Shono Takeshi, Kawazoe Seiji
机构信息
Department of Internal Medicine, Saga Prefectural Hospital, Saga, Japan.
出版信息
Intern Med. 2010;49(14):1371-5. doi: 10.2169/internalmedicine.49.3392. Epub 2010 Jul 15.
A 38-year-old woman was hospitalized in August 2007. This visit was her fifth episode of acute pancreatitis. Computed tomography revealed a cystic structure located near the antrum. Communication between this structure and the pancreatic duct was revealed by endoscopic retrograde cholangiopancreatography. Ultrasonography revealed that the cyst wall had a layered structure. Thus, we regarded it as a gastric duplication cyst. We thought that the gastric duplication cyst communicating with an aberrant pancreatic duct was responsible for the recurrent acute pancreatitis. In August 2008, a cyst gastrostomy was performed between the gastric duplication cyst and the stomach. No recurrence of acute pancreatitis has since occurred.
一名38岁女性于2007年8月住院。此次就诊是她第五次发作急性胰腺炎。计算机断层扫描显示胃窦附近有一个囊性结构。内镜逆行胰胆管造影显示该结构与胰管相通。超声检查显示囊肿壁有分层结构。因此，我们将其视为胃重复囊肿。我们认为与异常胰管相通的胃重复囊肿是复发性急性胰腺炎的病因。2008年8月，在胃重复囊肿与胃之间进行了囊肿胃造口术。此后急性胰腺炎未再复发。
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