Lundstedt C, Lyttkens K
Department of Radiology, University Hospital, S-221 85 Lund, Sweden.
Eur Radiol. 1998;8(3):454-7. doi: 10.1007/s003300050412.
A 19-year-old female had recurrent bouts of pancreatitis. At endoscopy a mucosa-covered mass lesion was seen in the duodenum. A double-contrast examination of the stomach and duodenum showed an intraluminal duodenal diverticulum (IDD). Also an inversed abdominal situs and a midgut malrotation were noted. Computed tomography revealed evidence of a polysplenia syndrome. Although this syndrome is associated with various gastrointestinal abnormalities, its combination with an IDD does not seem to have been reported previously. After surgical removal of the IDD the patient has not had any further attacks of pancreatitis.
一名19岁女性反复出现胰腺炎发作。内镜检查时，在十二指肠发现一个黏膜覆盖的肿块病变。胃和十二指肠的双重对比检查显示十二指肠腔内憩室（IDD）。还发现有内脏反位和中肠旋转不良。计算机断层扫描显示有多脾综合征的迹象。虽然该综合征与各种胃肠道异常有关，但它与IDD的合并情况此前似乎尚未见报道。手术切除IDD后，患者未再出现胰腺炎发作。
