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胰管残端:急性复发性胰腺炎的罕见病因。

Ansa pancreatica: a rare cause of acute recurrent pancreatitis.

机构信息

Service des Urgences Chirurgicales Viscérales, CHU Ibn Rochd, Université Hassane II, Faculté de Médecine et de Pharmacie (FMPC), Casablanca, Maroc.

出版信息

Pan Afr Med J. 2020 Oct 29;37:202. doi: 10.11604/pamj.2020.37.202.23218. eCollection 2020.

Abstract

Acute pancreatitis is an inflammation of the pancreas that can be caused in rare situations by ansa pancreatica, it is a rare anatomic variation of the pancreatic ducts. It is a communication between the main pancreatic duct (Wirsung) and the accessory pancreatic duct (Santorini). We report a case of the patient, in a 44-year-old, non-alcoholic, hospitalized for acute pancreatitis stage C of Baltazar. A magnetic resonance Cholangiopancreatography (MRCP) was performed which showed a gallstone and ansa pancreatica, than an endoscopic retrograde cholangiopancreatography (ERCP) revealed an ansa pancreatica with a common bile duct clear, a sphincterotomy of the major papilla was performed. It is still not clear whether the presence of these two pathologies is a coincidence or if the ansa pancreatica is the cause of acute pancreatitis. New studies are necessary to clarify these points.

摘要

急性胰腺炎是胰腺的炎症,在罕见情况下可能由胰管ansa 引起,它是胰腺管的一种罕见解剖变异。它是主胰管(Wirsung)和副胰管(Santorini)之间的连通。我们报告了一例患者,该患者为 44 岁非酒精性,因急性胰腺炎 Baltazar C 期住院。进行了磁共振胆胰管成像(MRCP)检查,显示有胆石症和胰管ansa,然后进行了内镜逆行胰胆管造影(ERCP),显示胰管ansa 与胆总管通畅,对主乳头进行了括约肌切开术。目前尚不清楚这两种病理的存在是巧合还是胰管ansa 是急性胰腺炎的原因。需要进一步的研究来阐明这些问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9b/7813647/73c75656f777/PAMJ-37-202-g001.jpg

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