十二指肠旁胰腺炎：三例不同治疗方法的病例
Paraduodenal Pancreatitis: Three Cases with Different Therapeutic Approaches.
作者信息
Carvalho Diana, Loureiro Rafaela, Pavão Borges Verónica, Russo Pedro, Bernardes Carlos, Ramos Gonçalo
机构信息
Gastroenterology and Hepatology Department, Hospital Santo António dos Capuchos, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
出版信息
GE Port J Gastroenterol. 2017 Mar;24(2):89-94. doi: 10.1159/000450872. Epub 2016 Nov 22.
BACKGROUND
Paraduodenal pancreatitis is a rare cause of chronic abdominal pain characterized by an inflammatory process and scarring in the groove area between the pancreatic head and the duodenal wall. Besides abdominal pain, symptoms such as vomiting and weight loss are common. Currently, advances in radiological and endoscopic diagnostic methods allow it to be identified without histological confirmation, although the differentiation from pancreatic adenocarcinoma could be challenging in some cases. Many therapeutic options are available nowadays including pharmacological, endoscopic, or surgical treatment.
METHODS
We report 3 cases of paraduodenal pancreatitis that had different therapeutic approaches.
RESULTS AND CONCLUSION
They show that this pathology should be taken into account in the differential diagnosis of pancreatic masses with duodenal infiltration, and that its management should be individualized and judicious.
背景
十二指肠旁胰腺炎是慢性腹痛的罕见病因，其特征为胰头与十二指肠壁之间沟区的炎症过程和瘢痕形成。除腹痛外，呕吐和体重减轻等症状也很常见。目前，放射学和内镜诊断方法的进展使得无需组织学证实即可识别该病，尽管在某些情况下与胰腺腺癌的鉴别可能具有挑战性。如今有许多治疗选择，包括药物、内镜或手术治疗。
方法
我们报告3例采用不同治疗方法的十二指肠旁胰腺炎病例。
结果与结论
这些病例表明，在鉴别诊断伴有十二指肠浸润的胰腺肿块时应考虑到这种病理情况，其治疗应个体化且审慎。
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