Watanabe Ko, Irisawa Atsushi, Hikichi Takuto, Takagi Tadayuki, Shibukawa Goro, Sato Masaki, Obara Katsutoshi, Ohira Hiromasa
Ko Watanabe, Tadayuki Takagi, Masaki Sato, Hiromasa Ohira, Division of Medicine, Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan.
World J Gastrointest Endosc. 2012 Jul 16;4(7):331-4. doi: 10.4253/wjge.v4.i7.331.
We describe a case of gastric aberrant pancreas with acute pancreatitis followed up with subsequent endoscopic ultrasound. A 20-year-old woman known to have aberrant pancreas in the stomach was admitted to our hospital because of severe epigastralgia. Laboratory tests showed slight C reactive protein elevation without hyperamylasemia. Esophagogastroduodenoscopy revealed a swollen submucosal lesion (SML) to a greater degree compared with the previous findings. Subsequent endoscopic ultrasonography (EUS) revealed a swollen lesion of 35 mm in diameter. The internal echo-pattern was more hypoechoic than in the previous EUS. The border between the fourth layer (muscularis propria) and the SML was unclear. The anechoic lumen in the mass, considered as the ductal lumen, was dilated. Based on these results, we diagnosed the patient as having acute inflammation, resembling pancreatitis, in the aberrant pancreas.
我们描述了一例伴有急性胰腺炎的胃异位胰腺病例，并随后进行了内镜超声检查随访。一名已知胃内有异位胰腺的20岁女性因严重上腹痛入院。实验室检查显示C反应蛋白轻度升高，无高淀粉酶血症。食管胃十二指肠镜检查显示，与之前的检查结果相比，黏膜下病变（SML）肿胀程度更大。随后的内镜超声检查（EUS）显示一个直径35毫米的肿胀病变。内部回声模式比之前的EUS检查时更呈低回声。第四层（固有肌层）与SML之间的边界不清楚。肿块内的无回声腔（被认为是导管腔）扩张。基于这些结果，我们诊断该患者在异位胰腺中发生了类似胰腺炎的急性炎症。
