Gilinsky N H, Lewis J W, Flueck J A, Fried A M
Am J Gastroenterol. 1987 Jul;82(7):681-4.
A patient with longstanding diabetes and renal failure presented with painless vomiting due to duodenal obstruction was found to have an annular pancreas. Initial operative evaluation, later pathologically confirmed, demonstrated involvement of not only the annulus, but also the entire gland by diffuse atrophic chronic pancreatitis. We speculate on the possible influence of the underlying diabetes and renal disease on the pathogenesis of the unusual generalized chronic inflammatory changes and the precipitation of duodenal obstruction in this patient.
一名患有长期糖尿病和肾衰竭的患者因十二指肠梗阻出现无痛性呕吐，被发现患有环状胰腺。最初的手术评估（后来经病理证实）显示，不仅环状结构受累，整个胰腺还受到弥漫性萎缩性慢性胰腺炎的影响。我们推测潜在的糖尿病和肾脏疾病可能对该患者不寻常的全身性慢性炎症变化的发病机制以及十二指肠梗阻的发生有影响。
