论文部分内容阅读
主胰管或副胰管导管腺瘤是急、慢性腹痛的罕见原因。以往文献仅报道12例。作者报道1例,回顾以往12例的临床和诊断特点,并讨论影响这种罕见手术治疗的因素。病例报告女性,69岁,食后持续脐周痛并向背部放射一年,伴腹泻。口服纤维缓泻剂缓解。CT扫描和血管造影正常,血液化验仅血清脂酶水平升高。体检无异常。内窥镜逆行胰胆管造影(ERCP)显示离胰管口1.5 cm处有不规则离心缺损和部分梗阻,内窥镜超声检查也证实。胰腺刷洗显示正常导管细胞。术中超声显示胰头肿块,但不肯定。经十二指肠
The main pancreatic duct or paraneoplastic duct adenoma is a rare cause of acute and chronic abdominal pain. The previous literature reported only 12 cases. The author reported one case, reviewed the clinical and diagnostic characteristics of the previous 12 cases, and discussed the factors affecting this rare surgical treatment. Case report Female, 69 years old, persistent umbilical pain after food and radiation to the back for one year with diarrhea. Oral fiber laxative relieves. Normal CT scans and angiography, blood tests only increased serum lipase levels. There is no abnormal physical examination. Endoscopic retrograde cholangiopancreatography (ERCP) showed irregular centrifugation and partial obstruction at a distance of 1.5 cm from the pancreatic duct. Endoscopic ultrasonography was also confirmed. Pancreatic brushing shows normal ductal cells. Intraoperative ultrasound showed a pancreatic head mass, but not sure. Duodenum