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空肠系膜内无症状异位胰腺的CT特征

CT features of asymptomatic heterotopic pancreas in jejunal mesentery.

作者信息

Aslan Serdar, Nural Mehmet Selim

机构信息

Department of Radiology, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.

出版信息

Turk J Gastroenterol. 2019 Feb;30(2):208-210. doi: 10.5152/tjg.2018.18064.

Abstract

Heterotopic pancreas (HP) is localized pancreatic tissue that has no relation to orthotopic pancreas and has its own channel and vascular structures. Usually, the submucosa is located in the upper gastrointestinal tract; mesenteric placement is rarely reported. It is frequently asymptomatic and is detected incidentally in imaging, laparotomies, or autopsies. Rarely, pancreatitis may be the cause of small bowel obstruction, massive gastrointestinal bleeding, and malignant transformation. However, this has usually been reported in localized submucosal HP cases. The imaging findings are typical, and the diagnosis can be verified without the need for a histopathological diagnosis. In this case report, we aimed to present the imaging findings of asymptomatic HP located in the proximal jejunum mesentery of a 44-year-old woman. To avoid unnecessary surgical procedures, the characteristic imaging findings of HP are understood and should be considered in the differential diagnosis of masses seen in the mesentery.

摘要

异位胰腺(HP)是指位于胰腺正常位置以外的胰腺组织,与正常胰腺无关联,并有其自身的管道和血管结构。通常,它位于上消化道黏膜下层;肠系膜部位的异位胰腺很少见报道。异位胰腺常常没有症状,多在影像学检查、剖腹手术或尸检时偶然发现。少数情况下,胰腺炎可能是小肠梗阻、大量胃肠道出血及恶变的原因。不过,这种情况通常仅在局限性黏膜下异位胰腺病例中有报道。其影像学表现具有特征性,无需组织病理学诊断即可确诊。在本病例报告中,我们旨在展示一名44岁女性空肠近端肠系膜处无症状异位胰腺的影像学表现。为避免不必要的手术操作,应了解异位胰腺的特征性影像学表现,并在肠系膜肿物的鉴别诊断中予以考虑。

相似文献

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Giant heterotopic pancreas in the jejunal mesentery.空肠系膜内巨大异位胰腺。
AJR Am J Roentgenol. 2007 Nov;189(5):W262-3. doi: 10.2214/AJR.05.1142.

本文引用的文献

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Heterotopic pancreas: typical and atypical imaging findings.异位胰腺:典型和非典型的影像学表现。
Clin Radiol. 2010 May;65(5):403-7. doi: 10.1016/j.crad.2010.01.005. Epub 2010 Mar 11.
9
Giant heterotopic pancreas in the jejunal mesentery.空肠系膜内巨大异位胰腺。
AJR Am J Roentgenol. 2007 Nov;189(5):W262-3. doi: 10.2214/AJR.05.1142.

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