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导致回肠-回肠套叠的异位胰腺。

Heterotopic pancreas leading to ileo-ileal intussusception.

作者信息

Ratan Kn, Singh Mahavir, Rani Babita

机构信息

Departments of Pediatric Surgery, Pt. BD Sharma PGIMS Rohtak, Haryana, India.

出版信息

APSP J Case Rep. 2012 May;3(2):12. Epub 2012 Jun 1.

PMID:22953306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3418041/
Abstract

A heterotopic pancreas as the lead point of ileo-ileal intussusception is extremely rare. A 12-year-old previously healthy boy, presented to the emergency room with the complaint of severe abdominal pain for the last 6-8 hours. A preoperative diagnosis of ileo-ileal intussusception was made on ultrasound and an emergency exploratory laparotomy was done. At laparotomy an ileo-ileal intussusception was found and a polyp noted as a lead point. On histopathology this polyp was found to be heterotopic pancreas.

摘要

异位胰腺作为回肠-回肠套叠的起始点极为罕见。一名12岁、此前健康的男孩因过去6至8小时内的严重腹痛主诉前往急诊室。超声检查作出回肠-回肠套叠的术前诊断，并进行了急诊剖腹探查术。剖腹探查时发现回肠-回肠套叠，且有一个息肉被视为起始点。组织病理学检查发现该息肉为异位胰腺。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2067/3418041/792ef45a90d8/ajcr-3-12.f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2067/3418041/efda1e25ed71/ajcr-3-12.f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2067/3418041/83ea56c01bad/ajcr-3-12.f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2067/3418041/792ef45a90d8/ajcr-3-12.f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2067/3418041/efda1e25ed71/ajcr-3-12.f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2067/3418041/83ea56c01bad/ajcr-3-12.f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2067/3418041/792ef45a90d8/ajcr-3-12.f3.jpg

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本文引用的文献

1
Isolated heterotopic pancreas in ileoileal intussusception.
J Ultrasound Med. 2009 Apr;28(4):545-8. doi: 10.7863/jum.2009.28.4.545.
2
Heterotopic pancreas as a leading point for small-bowel intussusception in a pregnant woman.异位胰腺作为一名孕妇小肠套叠的起始点。
JOP. 2007 Sep 7;8(5):584-7.
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Combined ileal heterotopic pancreatic and gastric tissues causing ileocolic intussusception in an infant.合并回肠异位胰腺和胃组织导致婴儿回结肠套叠
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回肠异位胰腺病例，表现为隐匿性胃肠道出血和腹痛。
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Hepatoid adenocarcinoma arising from heterotopic pancreas of the ileum: A case report.起源于回肠异位胰腺的肝样腺癌：一例报告。
Medicine (Baltimore). 2016 Aug;95(33):e4067. doi: 10.1097/MD.0000000000004067.
6
Inverted Meckel's Diverticulum Simulating Pedunculated Polyp as a Lead Point for Ileoileal Intussusception in a Child.倒置梅克尔憩室模拟带蒂息肉作为儿童回肠套叠的起始点。
APSP J Case Rep. 2013 Jan;4(1):6. Epub 2013 Jan 1.
4
Intussusception caused by a heterotopic pancreas. Case report and literature review.异位胰腺引起的肠套叠。病例报告及文献复习。
JOP. 2004 Nov 10;5(6):476-9.
5
Gastric outlet obstruction caused by a heterotopic pancreas in a pregnant woman: report of a case.孕妇异位胰腺导致胃出口梗阻：病例报告
Surg Today. 2003;33(12):952-5. doi: 10.1007/s00595-003-2614-3.
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Isolated heterotopic pancreas causing intussusception.孤立性异位胰腺导致肠套叠。
Eur J Pediatr Surg. 2000 Jun;10(3):197-200. doi: 10.1055/s-2008-1072357.
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Pancreatic heterotopia--a rare cause of bowel obstruction.胰腺异位——肠梗阻的罕见病因
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8
The clinical significance of heterotopic pancreas in the gastrointestinal tract.胃肠道内异位胰腺的临床意义。
Br J Surg. 1981 Jun;68(6):384-7. doi: 10.1002/bjs.1800680606.