Reshef R, Shtamler B, Novis B H
Department of Gastroenterology, Nahariya Hospital, Kfar Saba, Israel.
Am J Gastroenterol. 1988 Jan;83(1):86-8.
Described is the case of a 24-yr-old patient in whom recurrent attacks of acute pancreatitis following a cholecystectomy were found to be associated with anomaly of the pancreas--the so-called pancreas divisum. An examination by endoscopic retrograde cholangiopancreatography showed typical findings of a short duct of Wirsung. Cannulation of the secondary duct of Santorini revealed a grossly dilated and strictured duct full of stones. After drainage of the duct by a pancreaticojejunostomy (Puestow procedure), the patient has not had any further episodes of acute pancreatitis during a follow-up period of 4 yr.
本文描述了一位24岁患者的病例，该患者在胆囊切除术后反复出现急性胰腺炎发作，经检查发现与胰腺异常——即所谓的胰腺分裂有关。内镜逆行胰胆管造影检查显示了典型的胰管短小表现。对Santorini副胰管进行插管检查发现，该胰管严重扩张并伴有狭窄，且充满结石。在通过胰管空肠吻合术（Puestow手术）对该胰管进行引流后，患者在4年的随访期内未再出现急性胰腺炎发作。
