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一种导致胆总管和胰管同时扩张的不常见病因。

An unusual cause of simultaneous common bile and pancreatic duct dilation.

机构信息

Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India and.

Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India and

出版信息

Gastroenterol Rep (Oxf). 2015 Aug;3(3):258-61. doi: 10.1093/gastro/gou032. Epub 2014 Jun 17.

DOI:10.1093/gastro/gou032
PMID:24939738
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4527257/
Abstract

Simultaneous dilation of both the common bile duct and the pancreatic duct (double-duct sign) is usually because of ampullary or pancreatic tumours. Here we report an unusual cause of double-duct dilation; we describe the case of a 49-year-old female who developed afferent loop syndrome after pylorus-preserving pancreaticoduodenectomy: cross-sectional imaging of the abdomen revealed a double-duct sign.

摘要

胆总管和胰管同时扩张(双管征)通常是由于壶腹或胰腺肿瘤引起的。在这里,我们报告了一种不常见的双管扩张原因;我们描述了一位 49 岁女性的病例,她在接受保留幽门的胰十二指肠切除术后发生输入袢综合征:腹部横断面成像显示双管征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/eee4f69e1368/gou032f5p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/701f3f0946b5/gou032f1p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/f6238334570a/gou032f2p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/ad880f7fcdc0/gou032f3p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/fde569ae5554/gou032f4p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/eee4f69e1368/gou032f5p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/701f3f0946b5/gou032f1p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/f6238334570a/gou032f2p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/ad880f7fcdc0/gou032f3p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/fde569ae5554/gou032f4p.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da4/4527257/eee4f69e1368/gou032f5p.jpg

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本文引用的文献

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G Chir. 2013 May-Jun;34(5-6):164-6. doi: 10.11138/gchir/2013.34.5.164.
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CT after pancreaticoduodenectomy: spectrum of normal findings and complications.胰十二指肠切除术后的 CT:正常表现和并发症谱。
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Ann Ital Chir. 2012 Nov-Dec;83(6):555-8.
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Percutaneous transhepatic metallic stent insertion for malignant afferent loop obstruction following pancreaticoduodenectomy: a case report.经皮经肝金属支架置入术治疗胰十二指肠切除术后恶性输入袢梗阻:一例报告
J Med Case Rep. 2012 Jul 16;6:198. doi: 10.1186/1752-1947-6-198.
6
Endoscopic management of afferent loop syndrome after a pylorus preserving pancreatoduodenecotomy presenting with obstructive jaundice and ascending cholangitis.保留幽门的胰十二指肠切除术后出现梗阻性黄疸和化脓性胆管炎的输入袢综合征的内镜治疗
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