成人完全性环状胰腺合并肠-胰-胆症状：一例报告

Complete Annular Pancreas with Concurrent Entero-Pancreatico-Biliary Symptoms in Adult: A Case Report.

作者信息

Chowdhury M M, Ullah A A, Karim R, Ahmed A, Mohammed S, Sobhan S A, Farmidi A A, Zuwaida F, Pradan R, Mahmud R, Rai B, Pervin S, Habib R

机构信息

Professor Md Mohsen Chowdhury, Professor & Head, Department of the Yellow Unit II, Hepatobiliary & Pancreatic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.

出版信息

Mymensingh Med J. 2018 Jan;27(1):196-200.

PMID:29459613

Abstract

Complete Annular pancreas (AP) is a rare congenital anomaly, often presented and operated at the early age of life. Adult presentation group usually presents with either biliary or duodenal or pancreatic symptoms. We report a case of 43 years old female presenting with concurrent enteric, biliary and pancreatic symptoms admitted on April 2016 in Hepatobiliary and Pancreatic Surgery Department of BSMMU, Dhaka, Bangladesh. A complete type of annular pancreas with partial duodenal stenosis and dilated common bile duct was observed during laparotomy. We performed gastrojejunostomy as well as hepaticojejunostomy (Roux-en-Y anastomosis). Patient was discharged in a good symptom free condition. Complete Annular Pancreas can present at any age, with any one or all of the biliary, pancreatic or duodenal symptoms. Surgery is the treatment of choice and has a good outcome.

摘要

完全环状胰腺（AP）是一种罕见的先天性异常，常在生命早期出现并接受手术治疗。成人发病组通常表现为胆道、十二指肠或胰腺症状。我们报告一例43岁女性，于2016年4月因同时出现肠道、胆道和胰腺症状入住孟加拉国达卡BSMMU肝胆胰外科。剖腹手术时观察到完全型环状胰腺伴部分十二指肠狭窄和胆总管扩张。我们进行了胃空肠吻合术以及肝空肠吻合术（Roux-en-Y吻合术）。患者出院时症状消失，情况良好。完全环状胰腺可在任何年龄出现，伴有胆道、胰腺或十二指肠症状中的任何一种或全部。手术是首选治疗方法，且效果良好。