Wang J T, Lin J T, Chuang C N, Wang S M, Chuang L M, Chen J C, Huang S H, Chen D S, Wang T H
Department of Internal Medicine, National Taiwan University Hospital, Taipei, Republic of China.
Pancreas. 1990 Jul;5(4):493-7. doi: 10.1097/00006676-199007000-00020.
A case of agenesis of the dorsal pancreas associated with diabetes mellitus and dilated biliary trees was reported. Preoperative diagnosis was made by endoscopic retrograde cholangiopancreatography and computed tomography. Laparotomy revealed a normal head of the pancreas but complete agenesis of the body and tail. Biopsy specimens removed from the head showed normal pancreatic tissue but only fat tissue from the presumed body and tail. This anomaly has rarely been reported in the literature. A thorough review of the literature was made and consideration of differential diagnosis was discussed.
报告了1例背侧胰腺发育不全合并糖尿病和胆管扩张的病例。术前通过内镜逆行胰胆管造影和计算机断层扫描做出诊断。剖腹手术显示胰腺头部正常,但体部和尾部完全缺如。从头部取出的活检标本显示为正常胰腺组织,但从推测的体部和尾部仅取出脂肪组织。这种异常在文献中鲜有报道。对文献进行了全面回顾,并讨论了鉴别诊断的考虑因素。