Manov John, Langston Michael, Roth Patrick, Barkin Jodie, Kuker Russ, Barkin Jamie S
Department of Radiology, University of Miami Miller School of Medicine, WW279, 1611 NW 12th Avenue, Miami, FL 33136, USA.
Division of Gastroenterology, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Radiol Case Rep. 2017 Dec 25;13(1):72-75. doi: 10.1016/j.radcr.2017.11.011. eCollection 2018 Feb.
Pancreatic cancer is often detected in late stages, which contributes to its grim prognosis. Although the manifestations of pancreatic cancer most often include nonspecific gastrointestinal complaints, we report a case with the sole initial complaint of halitosis and subsequent diagnostic workup demonstrating a pancreatic mass with secondary pancreatocolonic fistulization. The etiologies of and the radiological findings pertaining to halitosis, the presenting symptoms and imaging studies relevant to the diagnosis of pancreatic cancer, and the imaging and clinical findings of pancreatic fistulization are discussed.
胰腺癌往往在晚期才被发现，这导致其预后不佳。虽然胰腺癌的表现通常最常包括非特异性胃肠道症状，但我们报告了一例最初仅以口臭为唯一症状的病例，随后的诊断检查显示有胰腺肿块并伴有继发性胰结肠瘘。本文讨论了口臭的病因及相关影像学表现、胰腺癌诊断相关的症状和影像学检查，以及胰瘘的影像学和临床发现。
