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胰腺异位——肠梗阻的罕见病因

Pancreatic heterotopia--a rare cause of bowel obstruction.

作者信息

Anseline P, Grundfest S, Carey W, Weiss R

出版信息

Surgery. 1981 Jul;90(1):110-3.

PMID:7245042
Abstract

Pancreatic heterotopia is a developmental anomaly. When it produces complications, symptoms depend on the site of the lesion and may reflect the whole range of pathology affecting pancreatic tissue. In the ileum, pancreatic heterotopia is usually associated with a Meckel's diverticulum and may cause intestinal obstruction by intussusception. Isolated ileal pancreatic rests are rare and usually are discovered incidentally during surgery for other conditions. A case of a polypoid mass in the ileum containing aberrant pancreatic tissue that had been causing recurrent small bowel obstruction is described. Resection and primary anastomosis were curative.

摘要

胰腺异位是一种发育异常。当它引发并发症时,症状取决于病变部位,可能反映出影响胰腺组织的各种病理情况。在回肠中,胰腺异位通常与梅克尔憩室相关,可能通过肠套叠导致肠梗阻。孤立的回肠胰腺残余很少见,通常在因其他病症进行手术时偶然发现。本文描述了一例回肠内含有异常胰腺组织的息肉样肿物病例,该肿物一直导致复发性小肠梗阻。切除并一期吻合术治愈了该病例。

相似文献

1
Pancreatic heterotopia--a rare cause of bowel obstruction.胰腺异位——肠梗阻的罕见病因
Surgery. 1981 Jul;90(1):110-3.
2
Isolated heterotopic pancreas causing intussusception.孤立性异位胰腺导致肠套叠。
Eur J Pediatr Surg. 2000 Jun;10(3):197-200. doi: 10.1055/s-2008-1072357.
3
Small-bowel obstruction caused by heterotopic pancreas in an adult.成人异位胰腺引起的小肠梗阻。
Am Surg. 1989 Aug;55(8):503-4.
4
[Acute intestinal invagination secondary to the presence of an aberrant pancreas in an infant].[婴儿因存在异位胰腺继发急性肠套叠]
Chir Pediatr. 1985;26(1):51-2.
5
[Inversion of Meckel's diverticulum with consecutive small intestine invagination--a rare cause of ileus].梅克尔憩室伴连续性小肠套叠反转——肠梗阻的罕见病因
Chirurg. 1992 Oct;63(10):839-41.
6
[Carcinoid associated with pancreatic heterotopia in Meckel's diverticulum. The clinical, morphological and ultrastructural aspects of a case].
Minerva Chir. 1990 Aug;45(15-16):1043-7.
7
Ectopic gastric mucosa in a polyp causing ileo-ileal intussusception: a case report of a three-month-old baby.息肉内异位胃黏膜导致回肠-回肠套叠:一例三个月大婴儿的病例报告
Eur J Pediatr Surg. 1991 Apr;1(2):118-20. doi: 10.1055/s-2008-1042472.
8
Heterotopic ileal pancreas with lipoma and coexisting fibromatosis associated with a rare case of gastrointestinal bleeding. A case report and review of the literature.伴有脂肪瘤的异位回肠胰腺及并存的纤维瘤病与罕见的胃肠道出血病例。病例报告及文献复习。
JOP. 2008 Sep 2;9(5):640-3.
9
[Ileo-ileal intussusception over an islet of heterotopic gastric mucosa without Meckel's diverticulum].[无梅克尔憩室的异位胃黏膜岛状区域上的回肠-回肠套叠]
Chir Pediatr. 1981;22(1):7-11.
10
A polypoid gastric heterotopia of jejunum diagnosed by capsule endoscopy.经胶囊内镜诊断的空肠息肉样胃异位症。
J Coll Physicians Surg Pak. 2009 Oct;19(10):661-2. doi: 10.2009/JCPSP.661662.

引用本文的文献

1
Heterotopic pancreas: a rare cause of ileo-ileal intussusception.异位胰腺:回肠-回肠套叠的罕见病因。
Pol J Radiol. 2014 Oct 4;79:349-51. doi: 10.12659/PJR.890913. eCollection 2014.
2
Heterotopic pancreas leading to ileo-ileal intussusception.导致回肠-回肠套叠的异位胰腺。
APSP J Case Rep. 2012 May;3(2):12. Epub 2012 Jun 1.
3
Acute inflammation occurring in gastric aberrant pancreas followed up by endoscopic ultrasonography.内镜超声随访观察胃异位胰腺发生的急性炎症。
World J Gastrointest Endosc. 2012 Jul 16;4(7):331-4. doi: 10.4253/wjge.v4.i7.331.
4
Combined ileal heterotopic pancreatic and gastric tissues causing ileocolic intussusception in an infant.合并回肠异位胰腺和胃组织导致婴儿回结肠套叠
Pediatr Surg Int. 2006 Mar;22(3):297-9. doi: 10.1007/s00383-005-1566-7. Epub 2005 Nov 8.
5
Ectopic pancreatic tissue presenting as an umbilcal mass in a newborn: a case report.新生儿脐部肿物表现为异位胰腺组织:一例报告
Kaohsiung J Med Sci. 2005 Feb;21(2):84-7. doi: 10.1016/s1607-551x(09)70282-7.
6
Acute terminal pancreatitis occurring in jejunal heterotopic pancreas.
Int J Pancreatol. 1998 Apr;23(2):171-3. doi: 10.1385/IJGC:23:2:171.
7
Esophageal heterotopic pancreas presenting as an inflammatory mass.表现为炎性肿块的食管异位胰腺。
Dig Dis Sci. 1995 Nov;40(11):2373-9. doi: 10.1007/BF02063240.