Kitchens William H, Liu Charles, Ryan Edward T, Fernandez-del Castillo Carlos
Department of Surgery, Massachusetts General Hospital, ACC 366 15 Parkman St., Boston, MA, 02114, USA.
J Gastrointest Surg. 2014 Nov;18(11):2057-9. doi: 10.1007/s11605-014-2630-1. Epub 2014 Aug 23.
A case of pancreatitis secondary to a hepatic hydatid cyst is illustrated together with its preoperative imaging and intraoperative appearance. Cystobiliary communication is a common complication of large hydatid cysts, and episodes of recurrent pancreatitis resulting from passage of cyst contents down the biliary tract are rarely described. The clinical manifestations, diagnostic workup, and surgical management options of echinococcal-related pancreatitis are discussed, and a review of the literature is provided.
本文展示了一例继发于肝包虫囊肿的胰腺炎病例及其术前影像学表现和术中情况。胆囊胆管瘘是大型包虫囊肿的常见并发症,而囊肿内容物经胆道下行导致复发性胰腺炎发作的情况鲜有报道。本文讨论了棘球蚴相关胰腺炎的临床表现、诊断检查及手术治疗选择,并提供了文献综述。