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十二指肠旁胰腺炎:一例报告

Paraduodenal Pancreatitis: A Case Report.

作者信息

Imrani Kaoutar, Moatassim Billah Nabil, Nassar Ittimade

机构信息

Department of Radiology, Ibn Sina University Hospital, Mohammed V University in Rabat, Rabat, Morocco.

出版信息

Clin Med Insights Case Rep. 2023 May 12;16:11795476231172654. doi: 10.1177/11795476231172654. eCollection 2023.

Abstract

Pancreatitis of the groove, or paraduodenal pancreatitis, is a rare form of chronic segmental pancreatitis, located between the head of the pancreas, the inner wall of the duodenum, and the common bile duct. Alcohol abuse is misoften found in the history. The diagnosis is made on the basis of CT and MRI data. Clinical signs usually regress under symptomatic medical treatment. The main differential diagnosis is pancreatic carcinoma, which sometimes requires surgical exploration. We report the case of a 51 years old man presenting paraduodenal pancreatitis with heterotopic pancreas revealed by epigastric pain.

摘要

沟部胰腺炎,即十二指肠旁胰腺炎,是一种罕见的慢性节段性胰腺炎,位于胰头、十二指肠内壁和胆总管之间。病史中常发现有酗酒情况。诊断基于CT和MRI数据。经对症药物治疗后临床症状通常会消退。主要鉴别诊断为胰腺癌,有时需要进行手术探查。我们报告一例51岁男性患者,因上腹部疼痛发现患有十二指肠旁胰腺炎并伴有异位胰腺。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a28/10184256/6e75888fccc6/10.1177_11795476231172654-fig1.jpg

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