Zimmon D S, Panke W F, Clemett A R
Gastroenterology. 1979 Nov;77(5):1101-4.
A case of traumatic pancreatitis with a radiopaque calculus producing pain by obstructing the distal pancreatic duct is presented. Preoperative ductal anatomy was defined by a percutaneous pancreatogram that established the presence of mechanical duct obstruction as the cause of pain, and the potential for operative relief of duct obstruction. A remission from pain resulted from pancreatic duct decompression by a lateral pancreaticojejunostomy. The potential value of percutaneous pancreatography is discussed.
本文报告一例创伤性胰腺炎病例,其不透X线结石阻塞胰腺远端导管引发疼痛。术前通过经皮胰腺造影确定导管解剖结构,证实机械性导管阻塞是疼痛原因,且手术缓解导管阻塞具有可能性。通过侧侧胰空肠吻合术进行胰腺导管减压后疼痛缓解。文中讨论了经皮胰腺造影的潜在价值。