Department of Gastroenterology, Royal Berkshire Hospital, London Road, Reading RG1 5AN, United Kingdom.
Pancreatology. 2013 Mar-Apr;13(2):186-8. doi: 10.1016/j.pan.2013.01.012. Epub 2013 Feb 9.
Acute pancreatitis may rarely be caused by papillary mass lesions such as adenocarcinomas and neuroendocrine tumours. Occasionally these papillary lesions may cause recurrent episodes of acute pancreatitis and patients presenting in this way require further pancreatic investigation. We believe this to be the first reported case of a duodenal papillary somatostatinoma causing recurrent acute pancreatitis. The patient was investigated with multiple imaging modalities, both at endoscopy and with more traditional radiology, and treated with resection by Whipple's pancreaticoduodenectomy. If diagnosed early in the absence of distant metastases the prognosis of papillary somatostatinoma with tumour resection is excellent.
急性胰腺炎很少由乳头状肿块病变引起，如腺癌和神经内分泌肿瘤。偶尔，这些乳头状病变可能导致反复发作的急性胰腺炎，以这种方式就诊的患者需要进一步进行胰腺检查。我们认为这是首例十二指肠乳头生长抑素瘤引起反复发作性急性胰腺炎的报道。该患者通过多种影像学方式进行了检查，包括内镜检查和更传统的放射学检查，并通过 Whipple 胰十二指肠切除术进行了切除治疗。如果在没有远处转移的情况下早期诊断，肿瘤切除后乳头状生长抑素瘤的预后非常好。
