Bandak Mikkel, Johansen Lars
Kirurgisk Afdeling, Bornholms Hospital, Ullasvej 8, 3700 Rønne.
Ugeskr Laeger. 2013 Dec 9;175(50):3111-2.
Acute pancreatitis is uncommon in children and the spectrum of etiologies is broader than in adults. Here we describe a case of acute, severe gallstone pancreatitis in an obese, 13-year-old girl presenting with upper abdominal pain and markedly elevated levels of amylase and transaminases. Abdominal ultrasound showed cholelithiasis and dilatation of the common bile duct; and an endoscopic retrograde cholangiopancreatography with papillotomy was performed. The girl was discharged for elective laparoscopic cholecystectomy.
急性胰腺炎在儿童中并不常见，其病因范围比成人更广。在此，我们描述一例肥胖的13岁女孩发生的急性重症胆石性胰腺炎，该女孩表现为上腹部疼痛，淀粉酶和转氨酶水平显著升高。腹部超声显示有胆石症和胆总管扩张；随后进行了内镜逆行胰胆管造影及乳头切开术。该女孩出院以便择期行腹腔镜胆囊切除术。
