Sparks J C, Levine J B, Henken E M
Am J Surg. 1979 Nov;138(5):713-5. doi: 10.1016/0002-9610(79)90356-8.
A patient with pancreatic ascites is presented who had neither a pseudocyst nor demonstrable pancreatic duct disruption, despite the presence of both calculi and strictures in a dilated duct of Wirsung. Concurrently, the patient exhibited intractable abdominal pain characteristic of end-stage chronic alcoholic pancreatitis. The pancreatic ascites responded only briefly to nonoperative management with hyperalimentation. Side-to-side pancreticojejunostomy with caudal pancreatectomy relieved the patient of both pain and ascites, suggesting that this more direct approach may be worthy of consideration in patients with similar findings.
本文报告了一例胰腺腹水患者，尽管在扩张的主胰管中有结石和狭窄，但既没有假性囊肿，也没有可证实的胰管破裂。同时，该患者表现出终末期慢性酒精性胰腺炎特有的顽固性腹痛。胰腺腹水对肠外营养的非手术治疗仅产生了短暂反应。胰管空肠侧侧吻合术联合胰尾切除术缓解了患者的疼痛和腹水，这表明这种更直接的方法对于有类似表现的患者可能值得考虑。
