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一名年轻成年人的背侧胰腺发育不全:糖尿病的罕见病因。

Agenesis of dorsal pancreas in a young adult: a rare cause of diabetes mellitus.

作者信息

Sonkar Satyendra Kumar, Kumar Satish, Singh Neeraj Kumar

机构信息

Department of Medicine, Chhatrapati Shahuji Maharaj Medical University (King George Medical University), Lucknow, India.

出版信息

BMJ Case Rep. 2018 Feb 14;2018:bcr-2017-223301. doi: 10.1136/bcr-2017-223301.

Abstract

Dorsal pancreatic agenesis is an extremely rare entity characterised by absence of body and tail of pancreas, while there are so many other developmental anomalies of the pancreas that have been reported. Here we report a 25-year-old young man who presented with pain in the abdomen, recurrent loose stools and hyperglycaemia. On radiological imaging study, there was complete agenesis of the dorsal pancreas except for thin stripe of tissue at the level of the uncinate process. Both exocrinedysfunction and endocrine dysfunction were present in this patient. Patient was supplemented with pancreatic enzyme preparation and insulin.

摘要

背侧胰腺发育不全是一种极其罕见的病症,其特征为胰腺体部和尾部缺失,而此前已有许多其他胰腺发育异常的报道。在此,我们报告一名25岁的年轻男性,他出现腹痛、反复腹泻和高血糖症状。经影像学检查,除钩突水平有一条薄组织条带外,背侧胰腺完全缺如。该患者同时存在外分泌功能障碍和内分泌功能障碍。患者接受了胰酶制剂和胰岛素补充治疗。

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本文引用的文献

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Agenesis of the dorsal pancreas.背侧胰腺发育不全。
World J Gastroenterol. 2009 Jan 21;15(3):376-7. doi: 10.3748/wjg.15.376.
5
Agenesis of the dorsal pancreas and associated diseases.背侧胰腺发育不全及相关疾病
Dig Dis Sci. 2009 Mar;54(3):481-7. doi: 10.1007/s10620-008-0370-3. Epub 2008 Jul 11.
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Complete agenesis of the dorsal pancreas.背侧胰腺完全缺如。
J Hepatobiliary Pancreat Surg. 1999;6(1):94-7. doi: 10.1007/s005340050090.
7
Agenesis of pancreas.
Acta Paediatr. 1994 Jul;83(7):791-3. doi: 10.1111/j.1651-2227.1994.tb13144.x.

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