Sonak R, Stock W, Janzik U, Hayduk K, Borchard F
Chirurgische Abteilung, Marien-Hospital, Düsseldorf.
Leber Magen Darm. 1993 Sep;23(5):211-5.
We report on a 42-year-old male patient who has been treated over a period of five years because of acute relapsing pancreatitis. The diagnoses of viral pancreatitis, pancreatic pseudocyst, and choledochal cyst type III (choledochocele) have been erroneously made. The clinical and laboratory findings over this period are presented, compared with one another, and analyzed. The correct diagnosis of a duodenal duplication cyst filled with multiple calculi and lying within the lumen of the duodenum could not be established until intraoperative findings and histological examinations were completed. The pathogenesis of relapsing acute pancreatitis associated with duodenal duplication cyst filled with multiple calculi is proposed, based on the analysis of these findings and the literature review.
我们报告了一名42岁男性患者，他因急性复发性胰腺炎接受了为期五年的治疗。曾错误地诊断为病毒性胰腺炎、胰腺假性囊肿和III型胆总管囊肿（胆总管膨出）。本文呈现了该时间段内的临床和实验室检查结果，并进行了相互比较和分析。直到术中发现并完成组织学检查，才得以确诊为充满多个结石且位于十二指肠腔内的十二指肠重复囊肿。基于对这些发现的分析和文献回顾，提出了与充满多个结石的十二指肠重复囊肿相关的复发性急性胰腺炎的发病机制。
