Caballero Plasencia A M, Casals Sánchez J L, García Sánchez A, Caballero Plasencia M
Rev Esp Enferm Apar Dig. 1989 May;75(5):515-8.
We comment the case of a 25-year-old woman, diagnosed since the age of 7 as cystic fibrosis, who presented acute pancreatitis, an exceptional complication of the underlying disease. In the ultrasonographic exploration and endoscopic retrograde cholangiopancreatography was appreciated dilation of the pancreatic ducts, with mobile echoes and filling defects, respectively, compatible with mucus plugs. The etiopathogenesis of this type of acute pancreatitis and the procedure for reaching an etiological diagnosis are discussed. Although the patient presented moderate grade pancreatic failure, there is presently no agreement as to whether pancreatitis secondary to cystic fibrosis can be considered as chronic pancreatitis.
我们报道了一名25岁女性的病例，该女性自7岁起被诊断为囊性纤维化，此次出现了急性胰腺炎，这是基础疾病的一种罕见并发症。在超声检查和内镜逆行胰胆管造影中，分别发现胰管扩张，伴有可移动回声和充盈缺损，符合黏液栓的表现。本文讨论了这类急性胰腺炎的发病机制以及病因诊断的方法。尽管该患者出现了中度胰腺功能不全，但目前对于囊性纤维化继发的胰腺炎是否可被视为慢性胰腺炎尚无定论。
