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揭开狭窄小巷之谜:一例沟状胰腺炎病例报告

Unraveling the Narrow Alley: A Case Report of Groove Pancreatitis.

作者信息

Ebrahim Mohamed A, Zaher Eli A, Patel Parth, Alvi Muhammad Sohaib, Khanal Shreyashi

机构信息

Internal Medicine, Ascension Saint Joseph Hospital, Chicago, USA.

出版信息

Cureus. 2024 Apr 5;16(4):e57683. doi: 10.7759/cureus.57683. eCollection 2024 Apr.

DOI:10.7759/cureus.57683
PMID:38707162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11070197/
Abstract

Groove pancreatitis, a rare subtype of chronic pancreatitis, predominantly affects middle-aged men with a history of alcohol abuse. We present a unique case of a 31-year-old female with minimal alcohol consumption. Imaging revealed characteristic findings consistent with groove pancreatitis. Despite its rarity in young females, clinical suspicion led to the appropriate diagnosis and conservative management, resulting in symptomatic resolution. This case underscores the importance of recognizing atypical presentations of groove pancreatitis, emphasizing the necessity of tailored diagnostic approaches, and highlighting the efficacy of conservative management in achieving favorable outcomes, particularly in non-typical demographics.

摘要

沟部胰腺炎是一种罕见的慢性胰腺炎亚型,主要影响有酗酒史的中年男性。我们报告了一例独特的病例,患者为一名31岁女性,饮酒量极少。影像学检查显示出与沟部胰腺炎相符的特征性表现。尽管该病在年轻女性中罕见,但临床怀疑导致了恰当的诊断和保守治疗,症状得以缓解。该病例强调了认识沟部胰腺炎非典型表现的重要性,强调了采用针对性诊断方法的必要性,并突出了保守治疗在取得良好疗效方面的有效性,尤其是在非典型人群中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0c/11070197/3a7e8fd5c289/cureus-0016-00000057683-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0c/11070197/b80ce74b71c1/cureus-0016-00000057683-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0c/11070197/3a7e8fd5c289/cureus-0016-00000057683-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0c/11070197/b80ce74b71c1/cureus-0016-00000057683-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0c/11070197/3a7e8fd5c289/cureus-0016-00000057683-i02.jpg

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本文引用的文献

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Pancreatic carcinoma masquerading as groove pancreatitis: case report and review of literature.伪装成沟部胰腺炎的胰腺癌:病例报告及文献复习
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Characteristic clinical and pathologic features for preoperative diagnosed groove pancreatitis.术前诊断的沟部胰腺炎的特征性临床和病理特征。
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Paraduodenal pancreatitis: a clinico-pathologically distinct entity unifying "cystic dystrophy of heterotopic pancreas", "para-duodenal wall cyst", and "groove pancreatitis".十二指肠旁胰腺炎:一种临床病理特征独特的实体,涵盖“异位胰腺囊肿性营养不良”、“十二指肠旁壁囊肿”及“沟部胰腺炎”。
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A special form of segmental pancreatitis: "groove pancreatitis".节段性胰腺炎的一种特殊形式:“沟部胰腺炎”。
Hepatogastroenterology. 1982 Oct;29(5):198-208.