急性复发性胰腺炎：壶腹癌的一种可能临床表现。
Acute recurrent pancreatitis: a possible clinical manifestation of ampullary cancer.
作者信息
Petrou Athanasios, Bramis Konstantinos, Williams Timothy, Papalambros Alexandros, Mantonakis Eleftherios, Felekouras Evangelos
机构信息
Department of Hepatobiliary Surgery, Churchill Hospital, Oxford, United Kingdom.
出版信息
JOP. 2011 Nov 9;12(6):593-7.
CONTEXT
Acute recurrent pancreatitis still poses diagnostic difficulties. The coexistence or moreover the causative relationship of carcinoma of the ampulla of Vater and acute recurrent pancreatitis is fairly rare.
CASE REPORT
We present a case of carcinoma of the ampulla of Vater that presented with acute recurrent necrotizing pancreatitis complicated with pseudocysts. A diagnosis of malignancy in the ampulla was only made after several ERCP attempts due to residual inflammation at the periampullary area.
CONCLUSION
Malignancy at the ampulla of Vater causing recurrent episodes of pancreatitis represents a realistic risk and attempts to diagnose the underlying cause should always take into account the possibility of cancer.
背景
急性复发性胰腺炎的诊断仍存在困难。壶腹癌与急性复发性胰腺炎并存或存在因果关系的情况相当罕见。
病例报告
我们报告一例壶腹癌患者，该患者表现为急性复发性坏死性胰腺炎并伴有假性囊肿。由于壶腹周围区域存在残留炎症，经过多次内镜逆行胰胆管造影（ERCP）检查后才确诊壶腹恶性肿瘤。
结论
壶腹癌导致胰腺炎反复发作是一种实际存在的风险，在尝试诊断潜在病因时应始终考虑到癌症的可能性。
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