Mikulić Danko, Bubalo Tomislav, Mrzljak Anna, Škrtić Anita, Jadrijević Stipislav, Kanižaj Tajana Filipec, Kocman Branislav
Branislav Kocman - Division of Abdominal Surgery and Organ Transplantation, Department of Surgery, University Hospital Merkur, Zagreb 10000, Croatia.
Tajana Filipec Kanižaj - Division of Gastroenterology, Department of Internal Medicine, University of Zagreb, School of Medicine, University Hospital Merkur, Zagreb 10000, Croatia.
World J Gastrointest Surg. 2019 Jun 27;11(6):296-302. doi: 10.4240/wjgs.v11.i6.296.
Paraduodenal pancreatitis (PP) is a rare form of chronic pancreatitis presenting with symptoms of duodenal obstruction. Conservative treatment is often unsuccessful and pancreaticoduodenectomy is the preferred surgical approach. A mini review of the outcomes of surgical therapy for PP shows that the results of pancreaticoduodenectomy are predominantly favorable.
In our case report of PP, we describe an unusual course first presenting with the symptoms of chronic pancreatitis and a pseudocyst of the pancreatic tail. A pseudocystojejunostomy was performed and the late postoperative course was complicated with the symptoms of duodenal obstruction. At laparotomy, PP was found and the patient was treated with a total pancreatectomy. The postoperative course was uneventful and good weight gain with resolution of pain was demonstrated at follow up visits.
Surgery is currently the optimal treatment option for PP. It is also the best diagnostic tool in distinguishing between pancreatitis and pancreatic adenocarcinoma.
十二指肠旁胰腺炎（PP）是一种罕见的慢性胰腺炎形式，表现为十二指肠梗阻症状。保守治疗往往不成功，胰十二指肠切除术是首选的手术方法。对PP手术治疗结果的小型综述表明，胰十二指肠切除术的结果大多是良好的。
在我们关于PP的病例报告中，我们描述了一个不寻常的病程，最初表现为慢性胰腺炎和胰尾假性囊肿的症状。进行了假性囊肿空肠吻合术，术后晚期病程出现十二指肠梗阻症状。剖腹手术时发现了PP，患者接受了全胰切除术。术后病程平稳，随访时体重增加良好，疼痛缓解。
手术目前是PP的最佳治疗选择。它也是区分胰腺炎和胰腺腺癌的最佳诊断工具。
