Meyer W, Gebhardt C
Zentrum für Chirurgie des Städtischen Klinikums Nürnberg.
Dtsch Med Wochenschr. 1988 Oct 7;113(40):1557-60. doi: 10.1055/s-2008-1067850.
In two patients a villous adenoma of the papilla of Vater was found to be the cause of an acute necrotizing pancreatitis. The diagnosis was largely made by early gastroduodenoscopy and endoscopic retrograde cholangiopancreatography. After initially conservative treatment of the pancreatitis the adenoma was excised transduodenally in both patients. Histological examination in both revealed a completely removed benign villous adenoma. Both patients have remained free of symptoms after 18 and 6 months, respectively. These observations support the call for intensive diagnostic measures when a diagnosis of pancreatitis has been made: tumours of the pancreas and of the periampullar region should be ruled out.
在两名患者中，发现 Vater 壶腹的绒毛状腺瘤是急性坏死性胰腺炎的病因。诊断主要通过早期胃十二指肠镜检查和内镜逆行胰胆管造影术做出。在对胰腺炎进行初步保守治疗后，两名患者均经十二指肠切除了腺瘤。两人的组织学检查均显示为完全切除的良性绒毛状腺瘤。两名患者分别在18个月和6个月后均无症状。这些观察结果支持在诊断胰腺炎时采取强化诊断措施的呼吁：应排除胰腺和壶腹周围区域的肿瘤。
