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沟部胰腺炎的保守治疗——一例报告并文献复习

Conservative management of groove pancreatitis - A case report with literature review.

作者信息

Gobishangar S, Jenil A A, Dinoshiga K, Mathuvanthi T, Heerthikan K

机构信息

Department of Surgery, Faculty of Medicine, University of Jaffna, Sri Lanka.

Department of Radiology, Teaching Hospital, Jaffna, Sri Lanka.

出版信息

Int J Surg Case Rep. 2023 Oct 26;112:108995. doi: 10.1016/j.ijscr.2023.108995.

Abstract

INTRODUCTION

Groove pancreatitis (GP) is a rare pancreatitis variant affecting the pancreaticoduodenal groove. It typically affects middle-aged men with a history of chronic alcoholism. Diagnosis is often challenging due to its resemblance with the head of the pancreatic carcinoma.

PRESENTATION OF CASE

We report a unique case of GP in a 55-year-old female patient with no history of alcohol consumption. Contrast-enhanced computer tomography revealed the features suggestive of GP.

DISCUSSION

This case exemplifies a rare manifestation of GP in a non-alcoholic female, presenting as an acute condition deviating from the common association with male gender and alcohol consumption. GP can be successfully managed conservatively in the presence of diagnostic certainty.

CONCLUSION

The presented case underscores the diagnostic complexity of groove pancreatitis, mainly when encountered in non-alcoholic females. Accurate diagnosis guides effective conservative treatment choices and mitigates the potential for unnecessary interventions.

摘要

引言

沟部胰腺炎(GP)是一种罕见的胰腺炎变体,累及胰十二指肠沟。它通常影响有慢性酒精中毒史的中年男性。由于其与胰腺癌头部相似,诊断往往具有挑战性。

病例介绍

我们报告了一例55岁无饮酒史女性患者的独特GP病例。对比增强计算机断层扫描显示了提示GP的特征。

讨论

该病例例证了GP在非酒精性女性中的罕见表现,呈现为一种与男性及饮酒常见关联不同的急性病症。在诊断明确的情况下,GP可以成功地进行保守治疗。

结论

该病例强调了沟部胰腺炎的诊断复杂性,尤其是在非酒精性女性中遇到时。准确的诊断指导有效的保守治疗选择,并减少不必要干预的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2fd/10667873/1990518d3496/gr1.jpg

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