Wang Wei-Guo, Zhang Yi, Wang Li, Chen Yang, Tian Bo-Le
Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
Pancreatology. 2015 Sep-Oct;15(5):573-575. doi: 10.1016/j.pan.2015.05.474. Epub 2015 Jun 5.
In clinical practical work, a rare kind of chronic pancreatic inflammatory granuloma which is caused by the foreign body of gastrointestinal perforation could be misdiagnosed and treated as pancreatic neoplasm sometimes, and even brings irreparable harm to patients. Here, we depict a male presenting recurrent upper abdominal pain and gradual weight loss, besides, the computer tomography suggested pancreatic tumor strongly. Fortunately, it has been proved to be a chronic pancreatic inflammatory granuloma caused by fish bone through laparotomy finally. To our knowledge, this case is the first case about the chronic pancreatic inflammatory granuloma caused by foreign body which successfully avoids unnecessary pancreatectomy.
在临床实际工作中，一种由胃肠道穿孔异物引起的罕见慢性胰腺炎性肉芽肿，有时可能被误诊为胰腺肿瘤并进行治疗，甚至给患者带来无法弥补的伤害。在此，我们描述了一名男性患者，表现为反复上腹部疼痛和逐渐体重减轻，此外，计算机断层扫描强烈提示胰腺肿瘤。幸运的是，最终通过剖腹手术证实其为鱼骨所致的慢性胰腺炎性肉芽肿。据我们所知，该病例是首例成功避免不必要胰腺切除术的异物所致慢性胰腺炎性肉芽肿病例。
