Rohrmann C A, Silvis S E, Vennes J A
Radiology. 1976 Nov;121(2):311-4. doi: 10.1148/121.2.311.
Apparent obstruction of the main pancreatic duct was seen on the endoscopic retrograde pancreatogram in 50 patients. The final diagnosis was pseudocyst in 15, neoplasm in 15, chronic pancreatitis in 8, acute recurrent pancreatitis in 3, and abscess in 2. Seven patients were normal. This series emphasizes the broad differential approach necessary when confronted with ductal obstruction. Diagnosis is facilitated by accurate evaluation of the ductal and extraductal characteristics, especially the ductal detail at the point of termination.
50例患者在内镜逆行胰胆管造影术中可见主胰管明显梗阻。最终诊断为假性囊肿15例，肿瘤15例，慢性胰腺炎8例，急性复发性胰腺炎3例，脓肿2例。7例患者正常。该系列病例强调了面对导管梗阻时采用广泛鉴别诊断方法的必要性。准确评估导管及导管外特征，尤其是导管末端的细节，有助于做出诊断。
