PDF下载 ( 2085 KB)
不完全性胰腺分裂致慢性胰腺炎1例报告
DOI: 10.3969/j.issn.1001-5256.2022.11.028
伦理学声明：本例报告已获得患者知情同意。
利益冲突声明：所有作者均声明不存在利益冲突。
作者贡献声明：董美丽负责课题设计，资料分析，撰写论文；张瑞华、李腾飞参与收集及分析数据；王阳指导撰写文章并修改论文；温晓玉负责拟定写作思路并最后定稿。
-
-
Key words:
- Pancreatitis, Chronic /
- Pancreas Divisum /
- Diagnosis /
- Therapeutics
-
图 1 肝胆脾胰多排CT平扫结果
注：肝内外胆管未见扩张，腔内未见异常密度影。胰腺实质密度稍减低，见点状钙化影，边缘毛糙，周围脂肪间隙稍浑浊，见条片状渗出影，胰尾部见结节状钙化影(箭头)，大小约0.3 cm，胰管未见扩张。
Figure 1. Multidetector CT plain scan of liver, bile, pancreas and spleen
图 2 MRCP+弥散检查结果
注：胰尾部稍饱满，边界模糊。胰头处可见两个胰管(箭头)，主胰管开口于十二指肠小乳头，副胰管开口于大乳头。
Figure 2. Magnetic resonance cholangiopancreatography plus dispersion
-
[1] QIN XY, GUO XY, SHI YH. An Excerpt of Swedish National guidelines for chronic pancreatitis(2021)[J]. J Clin Hepatol, 2020, 37(8): 1786-1788. DOI: 10.3969/j.issn.1001-5256.2021.08.008.秦晓雨, 郭小燕, 石益海. 《2021年瑞典国家指南: 慢性胰腺炎》摘译[J]. 临床肝胆病杂志, 2021, 37(8): 1786-1788. DOI: 10.3969/j.issn.1001-5256.2021.08.008. [2] CAO Y, YAO GX, SHI YH. An Excerpt of international consensus guidelines for risk factors in pancreatitis(2020)[J]. J Clin Hepatol, 2020, 36(8): 1720-1722. DOI: 10.3969/j.issn.1001-5256.2020.08.008.曹远, 姚国相, 石益海. 《2020年国际共识指南: 慢性胰腺炎的危险因素》摘译[J]. 临床肝胆病杂志, 2020, 36(8): 1720-1722. DOI: 10.3969/j.issn.1001-5256.2020.08.008. [3] LU Y, LIN Z, WU X, et al. Clinical characteristics of patients with pancreas divisum: a 9-year retrospective cohort study[J]. Pancreas, 2021, 50(10): e88-e90. DOI: 10.1097/MPA.0000000000001939. [4] BESTARI MB, NUGRAHA ES, ABDURACHMAN SA. Pancreas divisum as a rare etiology of recurrent pancreatitis: a rare case ever documented and reported in indonesia[J]. Acta Med Indones, 2021, 53(4): 465-468. [5] de JONG DM, STASSEN PM, POLEY JW, et al. Clinical outcome of endoscopic therapy in patients with symptomatic pancreas divisum: a Dutch cohort study[J]. Endosc Int Open, 2021, 9(7): E1164-E1170. DOI: 10.1055/a-1460-7899. [6] LIN TK, PATHAK SJ, HORNUNG LN, et al. Clinical outcomes following therapeutic endoscopic retrograde cholangiopancreatography in children with pancreas divisum[J]. J Pediatr Gastroenterol Nutr, 2021, 72(2): 300-305. DOI: 10.1097/MPG.0000000000002996. [7] TALUKDAR R, ASLAM M, REDDY DN, et al. Pancreas divisum increases the risk of recurrent acute pancreatitis in patients with rs12338 polymorphism in the cathepsin B gene[J]. Dig Dis Sci, 2021, 66(7): 2283-2290. DOI: 10.1007/s10620-020-06517-7. [8] PAN G, YANG K, GONG B, et al. Analysis of the efficacy and safety of endoscopic retrograde cholangiopancreatography in children with symptomatic pancreas divisum[J]. Front Pediatr, 2021, 9: 761331. DOI: 10.3389/fped.2021.761331. [9] SUN B, LI GQ. The treatment strategies for chronic pancreatitis: endoscopic treatment or surgical intervention[J]. Chin J Dig Surg, 2021, 20(4): 395-400. DOI: 10.3760/cma.j.cn115610-20210317-00129.孙备, 李冠群. 慢性胰腺炎的治疗策略: 内镜治疗与外科干预[J]. 中华消化外科杂志, 2021, 20(4): 395-400. DOI: 10.3760/cma.j.cn115610-20210317-00129. [10] KHRISTENKO E, TJADEN C, KLAUβ M. Pancreas divisum and pancreatitis[J]. Radiologe, 2021, 61(6): 541-547. DOI: 10.1007/s00117-021-00848-w. [11] LIU KY, LIU XC, SHI CY, et al. Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review[J]. J Int Med Res, 2021, 49(11): 3000605211060142. DOI: 10.1177/03000605211060142. [12] DUTTA S, SOWMIYA SV, CHAPA UK, et al. Pancreatic divisum with chronic pancreatitis of the ventral pancreas[J]. ANZ J Surg, 2021, 91(3): E126-E127. DOI: 10.1111/ans.16152. -
下载:
本文二维码
图(3)
计量
- 文章访问数: 326
- HTML全文浏览量: 119
- PDF下载量: 40
- 被引次数: 0
