壶腹周围癌合并家族性结肠息肉病所致胰腺炎和十二指肠梗阻
Pancreatitis and duodenal obstruction due to periampullary carcinoma associated with familial polyposis coli.
作者信息
Clarke D N, Smith J A, Norman J N, Brunt P W
出版信息
Postgrad Med J. 1978 Jun;54(632):418-20. doi: 10.1136/pgmj.54.632.418.
Abstract
Duodenal lesions are being reported in cases with familial polyposis of the colon. A case is described presenting with duodenal obstruction and pancreatitis complicating a peri-ampullary carcinoma in a patient with familial polyposis (adenomatosis of the colon and rectum). Upper gastrointestinal lesions notably in the duodenum include duodenal polyps and carcinoma and peri-ampullary malignancy. It is suggested that endoscopy and hypotonic duodenography be considered in patients with adenomatosis of the colon and rectum presenting with non-colonic alimentary symptoms.
摘要
在结肠家族性息肉病患者中，十二指肠病变已有报道。本文描述了1例患有结肠家族性息肉病（结肠和直肠腺瘤病）的患者，其十二指肠梗阻和胰腺炎并发壶腹周围癌。上消化道病变，尤其是十二指肠病变，包括十二指肠息肉、癌以及壶腹周围恶性肿瘤。建议对出现非结肠性消化道症状的结肠和直肠腺瘤病患者进行内镜检查和低张十二指肠造影。
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