Abrams J, Connon J J
Am J Gastroenterol. 1984 May;79(5):360-2.
The first case of relapsing acute pancreatitis due to a tubular duodenal duplication is reported. The duplication is believed to have filled with secretions and intermittently impinged on and obstructed the pancreatic ductular system producing a clinical picture of relapsing acute pancreatitis. The increased pressure within the duplication also produced pressure necrosis of the mucosa lining the duplication with resultant hemorrhage and iron-deficiency anaemia. The diagnosis was made preoperatively with the aid of ERCP.
本文报告了首例因十二指肠管状重复畸形导致复发性急性胰腺炎的病例。据信，该重复畸形内充满分泌物，并间歇性压迫和阻塞胰腺导管系统，从而产生复发性急性胰腺炎的临床表现。重复畸形内压力升高还导致其内衬黏膜发生压力性坏死，继而出现出血和缺铁性贫血。术前借助内镜逆行胰胆管造影（ERCP）做出了诊断。
