Scapa E, Broide E, Halevy A, Eshchar J
Institute of Gastroenterology, Liver Disease and Nutrition, Zrifin.
Harefuah. 1994 Sep;127(5-6):161-2, 215.
A mass within the head of the pancreas causing obstructive jaundice is frequently adenocarcinoma, or infrequently focal pancreatitis. Groove pancreatitis is an inflammation of the head of the pancreas which fills the anatomic space between the head of the pancreas on 1 side and the second part of the duodenum on the other. Obstruction from either cause may cause vomiting, abdominal pain, and loss of weight. It is sometimes impossible to differentiate between the 2 conditions clinically. We present 2 women, aged 41 and 42 years, respectively, with recent onset of diabetes mellitus, obstructive jaundice, abdominal pain and severe loss of weight in whom diagnosis was difficult. In 1 repeated fine needle biopsy directly from the mass did not show adenocarcinoma, but she died of the disease a few months later. The other, in whom malignancy was also suspected, recovered from what was retrospectively diagnosed as groove pancreatitis.
胰腺头部的肿物导致梗阻性黄疸，常见病因是腺癌，少见病因是局灶性胰腺炎。沟部胰腺炎是胰腺头部的炎症，占据了一侧胰腺头部与另一侧十二指肠第二部之间的解剖间隙。任何一种病因导致的梗阻都可能引起呕吐、腹痛和体重减轻。临床上有时无法区分这两种情况。我们报告2名分别为41岁和42岁的女性，近期出现糖尿病、梗阻性黄疸、腹痛和严重体重减轻，诊断困难。其中1例经反复细针穿刺直接取自肿物，未显示腺癌，但数月后死于该病。另一例也怀疑为恶性肿瘤，最终从回顾性诊断的沟部胰腺炎中康复。
