Kestel W, Fischbach W, Wilhelm A
II. Medizinische Klinik, Klinikum Aschaffenburg.
Z Gastroenterol. 1998 Apr;36(4):295-9.
A 28-year-old woman was hospitalized because of the third episode of acute pancreatitis. No hint for an extrinsic cause was evident. Under conservative treatment pancreatitis and signs of intestinal obstruction were persisting. Imaging procedures showed an undefinite mass in the neighbourhood of the pancreatic caput. Endoscopy revealed a phytobezoar in a wind sock web, a special form of congenital duodenal atresia. Obstructing the papilla of Vater the bezoar had caused acute pancreatitis. After endoscopical removal the symptoms of pancreatitis disappeared immediately. Web excision and duodenoduodenostomy were performed. At operation further anomalies of the gastrointestinal tract frequently associated with duodenenal atresia were found.
一名28岁女性因第三次急性胰腺炎发作入院。未发现明显的外部病因线索。在保守治疗下，胰腺炎和肠梗阻症状持续存在。影像学检查显示胰头附近有一个不明肿块。内镜检查发现一个风袋状网内有植物性粪石，这是先天性十二指肠闭锁的一种特殊形式。粪石阻塞了 Vater 壶腹，导致了急性胰腺炎。内镜切除后，胰腺炎症状立即消失。进行了网膜切除术和十二指肠十二指肠吻合术。手术中发现了与十二指肠闭锁常相关的其他胃肠道异常。
