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胰袢，急性复发性胰腺炎的罕见病因

Ansa Pancreatica, an Uncommon Cause of Acute, Recurrent Pancreatitis.

作者信息

Shaikh Danial H, Alemam Ahmed, von Ende Jennifer, Ghazanfar Haider, Dev Anil, Balar Bhavna

机构信息

Division of Gastroenterology, BronxCare Health System, Icahn School of Medicine, Bronx, New York, USA.

Department of Medicine, BronxCare Health System, Icahn School of Medicine, Bronx, New York, USA.

出版信息

Case Rep Gastroenterol. 2021 Jul 1;15(2):587-593. doi: 10.1159/000516686. eCollection 2021 May-Aug.

DOI:10.1159/000516686
PMID:34616260
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8454227/
Abstract

The pancreatic duct is vulnerable to developmental anomalies which may produce variations in its course and/or its configuration. Ansa pancreatica is the least common anatomic variant. It is characterized by the formation of an "S-shaped loop" from the main pancreatic duct to the minor papilla. Ansa pancreatica has been implicated as a cause of recurrent acute pancreatitis. We review existing literature on pancreatitis secondary to the ansa deformity and present a case of recurrent acute pancreatitis in a patient who was ultimately found to have the ansa deformity on endoscopic ultrasound.

摘要

胰腺导管易出现发育异常，这可能导致其走行和/或形态发生变化。胰腺袢是最不常见的解剖变异。其特征是主胰管至副乳头形成一个“S形袢”。胰腺袢被认为是复发性急性胰腺炎的一个病因。我们回顾了有关因胰腺袢畸形继发胰腺炎的现有文献，并报告一例复发性急性胰腺炎患者，该患者最终经内镜超声检查发现存在胰腺袢畸形。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8def/8454227/dd9d9b173edb/crg-0015-0587-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8def/8454227/6f92c8728c7c/crg-0015-0587-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8def/8454227/83b039e0149a/crg-0015-0587-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8def/8454227/dd9d9b173edb/crg-0015-0587-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8def/8454227/6f92c8728c7c/crg-0015-0587-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8def/8454227/83b039e0149a/crg-0015-0587-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8def/8454227/dd9d9b173edb/crg-0015-0587-g03.jpg

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引用本文的文献

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Ansa pancreatica: A rare etiology behind acute pancreatitis: Features and management.胰袢：急性胰腺炎背后的罕见病因：特征与处理
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2
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Endoscopic Ultrasound in Pancreatic Duct Anomalies.内镜超声在胰管异常中的应用

本文引用的文献

1
Ansa pancreatica: a rare cause of acute recurrent episode in chronic pancreatitis.胰袢：慢性胰腺炎急性复发的罕见原因。
BJR Case Rep. 2020 Sep 30;7(1):20200044. doi: 10.1259/bjrcr.20200044. eCollection 2021 Feb 1.
2
Recurrent pancreatitis in the setting of gallbladder agenesis, ansa pancreatica, Santorinicoele and eventual intraductal papillary mucinous neoplasia (IPMN).胆囊缺如、胰袢、桑托里尼氏囊肿及最终发展为导管内乳头状黏液性肿瘤（IPMN）情况下的复发性胰腺炎。
Ann Hepatobiliary Pancreat Surg. 2020 Aug 31;24(3):381-387. doi: 10.14701/ahbps.2020.24.3.381.
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Intraoperative pancreatoscopy for surgical planning in a patient with ansa pancreatica and mixed-type intraductal pancreatic mucinous neoplasm.
Diagnostics (Basel). 2023 Oct 5;13(19):3129. doi: 10.3390/diagnostics13193129.
术中胰管镜检查用于一名患有胰袢和混合型导管内乳头状黏液性肿瘤患者的手术规划。
Gastrointest Endosc. 2020 Oct;92(4):968-970. doi: 10.1016/j.gie.2020.04.052. Epub 2020 Apr 29.
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Trifidum anomaly of the main pancreatic duct.主胰管三分支异常。
Pancreatology. 2020 Apr;20(3):569-570. doi: 10.1016/j.pan.2020.01.018. Epub 2020 Feb 17.
5
Case report on Ansa Pancreatica: An Uncommon Cause Accounting for Recurrent Pancreatitis in Children.胰袢病例报告：儿童复发性胰腺炎的罕见病因
J Pak Med Assoc. 2019 Nov;69(11):1759-1761. doi: 10.5455/JPMA.29846..
6
Recurrent acute pancreatitis and the reverse 'S'-shaped pancreatic duct.复发性急性胰腺炎与反向“S”形胰管
BMJ Case Rep. 2019 Jun 3;12(6):e226492. doi: 10.1136/bcr-2018-226492.
7
Uncommon anatomic variation of the pancreatic duct: ansa pancreatica.胰管的罕见解剖变异：胰袢
Cir Esp (Engl Ed). 2020 Apr;98(4):236. doi: 10.1016/j.ciresp.2019.04.019. Epub 2019 Jun 1.
8
Acute Pancreatitis Due to a Rare Ductal Anomaly: Ansa Pancreatica.罕见导管异常导致的急性胰腺炎：胰袢。
Am J Med Sci. 2019 Jan;357(1):e1. doi: 10.1016/j.amjms.2018.09.001. Epub 2018 Sep 13.
9
The endoscopic ultrasound-assisted Rendez-Vous technique for treatment of recurrent pancreatitis due to pancreas divisum and ansa pancreatica.内镜超声辅助会师技术治疗胰腺分裂症和胰袢引起的复发性胰腺炎。
Rev Esp Enferm Dig. 2017 Nov;109(11):798-800. doi: 10.17235/reed.2017.4949/2017.
10
Transduodenal drainage of symptomatic walled-off pancreatic necrosis in a patient with ansa pancreatica anatomic variation.一名存在胰袢解剖变异的患者中症状性包裹性胰腺坏死的经十二指肠引流术
Arch Med Sci. 2017 Feb 1;13(1):267-269. doi: 10.5114/aoms.2017.64724. Epub 2016 Dec 19.