De Armas Ricardo E, Rosenberg Jacob M, Fenves Andrew Z
Harvard Medical School, Boston, Massachusetts.
Department of Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Proc (Bayl Univ Med Cent). 2018 May 9;31(3):324-325. doi: 10.1080/08998280.2018.1460128. eCollection 2018 Jul.
Acute pancreatitis is an inflammatory condition of the pancreas manifesting with abdominal pain and elevated serum levels of pancreatic enzymes. Gallstones and chronic alcohol use are the most commonly described causes. A less studied cause is cholesterolosis, gallbladder polyps that cause mechanical obstruction of the sphincter of Oddi. Here, we present the case of a 55-year-old woman who presented with acute pancreatitis and was found to have cholesterol polyps in her gallbladder with no evidence of gallstones. The patient underwent cholecystectomy with complete resolution of her symptoms.
急性胰腺炎是一种胰腺的炎症性疾病,表现为腹痛和血清胰腺酶水平升高。胆结石和长期饮酒是最常见的病因。一个研究较少的病因是胆固醇沉着症,即胆囊息肉导致奥迪括约肌机械性梗阻。在此,我们报告一例55岁女性患者,她因急性胰腺炎就诊,发现胆囊有胆固醇息肉,无胆结石证据。患者接受了胆囊切除术,症状完全缓解。