Lewin-Smith M R, Dipalma J S, Hoy G R, Colon A R, Garvin D F
Department of Pathology, Georgetown University Medical Center, Washington, DC 20037, USA.
Pediatr Pathol Lab Med. 1996 Jul-Aug;16(4):681-90.
Chronic fibrosing pancreatitis in childhood is an uncommon condition of unknown etiology with a variety of clinical presentations, histopathologic features, and outcomes. The diagnosis is one of exclusion (of hereditary or secondary pancreatitis), which should include histological assessment. The histological features of this condition have been described, to our knowledge, in nine published cases. We report a case in a 13-year-old male, who presented with obstructive jaundice and subsequently had evidence of endocrine and exocrine pancreatic insufficiency, despite a surgical decompression of the pancreatic-biliary duct system.
儿童慢性纤维性胰腺炎是一种病因不明的罕见病症,具有多种临床表现、组织病理学特征及预后情况。诊断需排除(遗传性或继发性胰腺炎),应包括组织学评估。据我们所知,已有九例已发表病例描述了该病症的组织学特征。我们报告一例13岁男性病例,该患者表现为梗阻性黄疸,尽管对胰胆管系统进行了手术减压,但随后出现了内分泌和外分泌胰腺功能不全的证据。