[壶腹型肠重复畸形伴结石致复发性急性胰腺炎]
[Recurrent acute pancreatitis caused by ampullar intestinal duplication filled with calculi].
作者信息
Medina-Pérez M, García Ferris G, Caballero Gómez J
机构信息
Hospital de la Merced, Osuna, Sevilla.
出版信息
Rev Esp Enferm Dig. 1997 Dec;89(12):929-32.
OBJECTIVES
Anatomical anomalies are recognised but rare causes of acute pancreatitis. We report a case or a 33-year-old woman with recurrent attacks of acute pancreatitis associated with a ampullar intestinal duplication.
MATERIAL AND METHOD
This patient was clinically studied, and a barium contrast study of the duodenum showed a filling defect in the second part of the duodenum, that was thought to be a periampullary lipoma. Endoscopic retrograde cholangiopancreatography was scheduled, but cannulation of the papillary orifice failed.
RESULTS
Laparotomy and surgical resection of the lesion were performed. Pathological study of the specimen revealed a duodenal duplication filled with multiple calculi.
CONCLUSION
This entity should be considered among the lesions that can cause recurrent acute pancreatitis.
目的
解剖学异常是公认的但却是急性胰腺炎的罕见病因。我们报告一例33岁女性，其反复发生急性胰腺炎发作，与壶腹周围肠重复畸形有关。
材料与方法
对该患者进行了临床研究，十二指肠钡剂造影显示十二指肠第二部有充盈缺损，当时认为是壶腹周围脂肪瘤。计划进行内镜逆行胰胆管造影，但乳头开口插管失败。
结果
进行了剖腹手术并切除病变。标本的病理研究显示十二指肠重复畸形内充满多个结石。
结论
在可导致复发性急性胰腺炎的病变中应考虑到这种情况。
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