Mair W S, McMahon M J, Goligher J C
Gut. 1976 Sep;17(9):692-5. doi: 10.1136/gut.17.9.692.
A case is described demonstrating a stricture of the colon associated with acute pancreatitis and 20 similar cases found in the literature are reviewed. The colonic stenosis may be of short duration and largely due to oedema or more chronic with deposition of fibrous tissue. Many cases have been confused with a carcinoma both radiologically and at laparotomy. It is suggested that a conservative approach be adopted initially, resection being carried out if follow-up barium examination fails to show resolution of the stenosis.
本文描述了一例与急性胰腺炎相关的结肠狭窄病例,并对文献中发现的20例类似病例进行了回顾。结肠狭窄可能病程较短,主要由水肿引起,或者更为慢性,伴有纤维组织沉积。许多病例在放射学检查和剖腹手术中都被误诊为癌症。建议最初采用保守治疗方法,如果随访钡剂检查未能显示狭窄消退,则进行切除手术。