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不完全性胰腺分裂致慢性胰腺炎1例报告

董美丽 张瑞华 李腾飞 王阳 温晓玉

引用本文:
Citation:

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
基金项目: 

吉林省科技计划项目基金 20190201065JC

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。
详细信息
    通信作者:

    王阳,wang19900403@163.com

    温晓玉,xywen@jlu.edu.cn

Chronic pancreatitis caused by incomplete pancreas division: A case report

Research funding: 

Foundation of Science and Technology Commission of Jilin Province 20190201065JC

More Information
  • 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

    图  3  ERCP检查结果

    注:主副胰管显影(箭头),主副胰管交汇处可见胰管明显狭窄,狭窄远端胰管扩张,最宽处0.5 cm。

    Figure  3.  Endoscopic retrograde cholangiopancreatography

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    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.
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    [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.
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    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.
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    [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.
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出版历程
  • 收稿日期:  2022-02-22
  • 录用日期:  2022-03-29
  • 出版日期:  2022-11-20
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