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离断性胰管综合征:继发于急性胰腺炎的完全性胰腺横断。

Disconnected pancreatic duct syndrome: complete pancreas transection secondary to acute pancreatitis.

作者信息

Gámez-del-Castillo Juan Manuel, Garcés-Albir Marina, Fernández-Moreno María Carmen, Morera-Ocón Francisco Javier, Villagrasa Rosana, Sabater-Ortí Luis

机构信息

Cirugía, Hospital Clinico. Universidad de Valencia, España.

Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario de Valencia, España.

出版信息

Rev Esp Enferm Dig. 2016 Mar;108(3):165-6. doi: 10.17235/reed.2016.3997/2015.

Abstract

Disconnected pancreatic duct syndrome is a serious complication of acute pancreatitis which is defined by a complete discontinuity of the pancreatic duct, such that a viable side of the pancreas remains isolated from the gastrointestinal tract. This pancreatic disruption is infrequently observed in the clinical practice and its diagnostic and therapeutic management are controversial. We present an extreme case of disconnected pancreatic duct syndrome with complete duct disruption and pancreatic transection following acute pancreatitis, as well as the diagnostic and therapeutic processes carried out.

摘要

胰腺导管离断综合征是急性胰腺炎的一种严重并发症,其定义为胰腺导管完全中断,致使胰腺的一个存活部分与胃肠道隔绝。这种胰腺中断在临床实践中很少见,其诊断和治疗管理存在争议。我们报告了一例急性胰腺炎后胰腺导管完全离断和胰腺横断的胰腺导管离断综合征的极端病例,以及所采取的诊断和治疗过程。

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