Kato S, Miyabayashi S, Ohi R, Nakagawa H, Abe J, Yamamoto K, Watanabe S, Tada K
Department of Pediatrics, Sendai City Hospital, Japan.
J Pediatr Gastroenterol Nutr. 1990 Nov;11(4):549-52. doi: 10.1097/00005176-199011000-00018.
Chronic pancreatitis is described in a 10-year-old boy with mitochondrial myopathy due to cytochrome c oxidase (complex IV) deficiency. There have been few reports of chronic pancreatitis associated with congenital metabolic diseases. Marked pancreatic calcifications and pseudocysts of the pancreatic head and tail were demonstrated by computed tomography of the abdomen and by endoscopic retrograde pancreatography, which were thought to be useful methods for morphological examination of the pancreas. In the patient, no possible etiological factors were identified, including anomalous pancreatobiliary ductal junction or biochemical abnormalities. The association between cytochrome c oxidase deficiency and chronic pancreatitis remains to be established.
一名10岁患有因细胞色素c氧化酶(复合体IV)缺乏所致线粒体肌病的男孩被诊断为慢性胰腺炎。关于慢性胰腺炎与先天性代谢疾病相关的报道很少。腹部计算机断层扫描和内镜逆行胰胆管造影显示胰腺头部和尾部有明显的钙化及假性囊肿,这些被认为是胰腺形态学检查的有用方法。在该患者中,未发现包括胰胆管异常连接或生化异常在内的可能病因。细胞色素c氧化酶缺乏与慢性胰腺炎之间的关联仍有待确定。