Saltzberg D M, Schreiber J B, Smith K, Cameron J L
Division of Gastroenterology, University of Maryland School of Medicine, Baltimore.
Am J Gastroenterol. 1990 Oct;85(10):1407-10.
A previously healthy 22-yr-old woman was found to have chronic pancreatitis restricted to the ventral pancreas in association with pancreas divisum. When conservative treatment failed, sphincteroplasty of both papillae was performed with good results. This well-documented case represents a clear exception to the commonly held concept that obstruction of the dorsal duct is the essential pathogenic factor in the development of pancreatitis associated with pancreas divisum. The importance of visualizing both the dorsal and ventral pancreatic ducts to direct therapy for patients with idiopathic pancreatitis is discussed. Theories of the pathogenesis of concomitant pancreatitis and pancreas divisum are reviewed.
一名既往健康的22岁女性被发现患有局限于腹侧胰腺的慢性胰腺炎，并伴有胰腺分裂症。保守治疗失败后，对两个乳头进行了括约肌成形术，效果良好。这个记录详尽的病例明显有别于普遍认为的背侧胰管梗阻是与胰腺分裂症相关的胰腺炎发生的关键致病因素这一观念。讨论了可视化背侧和腹侧胰管以指导特发性胰腺炎患者治疗的重要性。回顾了伴发性胰腺炎和胰腺分裂症的发病机制理论。
