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十二指肠空肠曲处的异位胰腺——计算机断层扫描和内镜超声图像

Ectopic Pancreas in the Duodenojejunal Flexure-Computed Tomographic and Endoscopic Ultrasonographic Images.

作者信息

Rawat Kishan Singh, Buxi T B S, Yadav Anurag, Ghuman Samarjit Singh, Bhalla Sunita, Dhawan Shashi

机构信息

Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, 110060 India.

出版信息

Indian J Surg. 2015 Aug;77(4):332-4. doi: 10.1007/s12262-015-1284-x. Epub 2015 May 20.

Abstract

Ectopic pancreas is a rare entity where the pancreatic tissue has no anatomic and vascular contact with the main body of the pancreas and has its own duct system and vascular supply. A detailed clinical report with contrast-enhanced computed tomography (CT) and endoscopic ultrasonography (EUS) imaging findings of a 40-year-old male came with vague symptoms. CT showed a well-defined homogeneously enhancing mass lesion in the duodenojejunal (DJ) flexure. EUS revealed a well-defined hypoechoic mass lesion in the submucosal layer of the DJ flexure. Surgical resection of the mass was performed, and histopathological examination of specimen confirmed the pancreatic tissues. Here, we have described the CT and EUS imaging features which can help to differentiate the ectopic pancreas from the gastrointestinal submucosal tumours.

摘要

异位胰腺是一种罕见的实体,其中胰腺组织与胰腺主体无解剖和血管联系,并有其自身的导管系统和血管供应。一名40岁男性出现模糊症状,伴有对比增强计算机断层扫描(CT)和内镜超声(EUS)成像结果的详细临床报告。CT显示十二指肠空肠(DJ)曲内有一个边界清晰、均匀强化的肿块病变。EUS显示DJ曲黏膜下层有一个边界清晰的低回声肿块病变。对该肿块进行了手术切除,标本的组织病理学检查证实为胰腺组织。在此,我们描述了CT和EUS成像特征,这些特征有助于将异位胰腺与胃肠道黏膜下肿瘤区分开来。

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