Köninger J, Butters M, Roos U, Bittner R
Allgemeinchirurgische Abteilung des Marienhospitals Stuttgart.
Z Gastroenterol. 1994 Mar;32(3):157-9.
A 52-year-old man was admitted to hospital with acute pancreatitis and jaundice. The patient's medical history showed a case of hospitalization due to acute pancreatitis about three years before. Diagnostic examinations (abdomen sonography, CT, contrast medium radiography of the small intestine, ERCP) revealed a juxtapapillary lipoma, approximately 1 by 6 cm, obstructing the papilla Vateri. After the examinations had been completed and the pancreatitis had largely eased off, the lipoma was removed by transduodenal surgery. There were no postoperative complications.
一名52岁男性因急性胰腺炎和黄疸入院。患者病史显示约三年前曾因急性胰腺炎住院。诊断性检查(腹部超声、CT、小肠造影、内镜逆行胰胆管造影)发现一个约1×6厘米的乳头旁脂肪瘤,阻塞了 Vater 壶腹。检查完成且胰腺炎基本缓解后,通过经十二指肠手术切除了脂肪瘤。术后无并发症。