Portal hypertension caused by pancreatic tuberculosis: A case report
-
摘要: <正>结核病在发展中国家是常见病,其发病率在近年呈上升趋势,但胰腺结核报道相对罕见。其尸检发现率仅为2.1%~4.7%[1-2],报道粟粒性结核尸检累及胰腺者为4.7%~14%。近年国外有关胰腺结核的报道有增加趋势[3]。胰腺结核患者的临床表现多样,无特异性,术前诊断困难,易被误诊为胰腺肿瘤而行手术治疗,给患者增加痛苦[4]。现报道1例以胰源性门静脉高压为首发症状的结核病患者。
-
Key words:
- pancreatic diseases /
- tuberculosis /
- hypertension, portal /
- case reports
-
[1]FRANCO-PAREDES C, LEONARD M, JURADO R, et al.Tuberculosis of the pancreas:Report of two cases and review of literature[J].Am J Med Sci, 2002, 323 (1) :54-58. [2]ECHENIQUE ELIZONDO M, AMONDARAIN ARRATBEL J, COMPTON CC, et al.Tuberculosis of the pancreas[J].Surgery, 2001, 129 (1) :114-116. [3]HUANG Y, LIU R, TANG Y, et al.Pancreatic tuberculosis:A clinical analysis of 5 cases and literature review[J].Chin J Tuberc Respir Dis, 2004, 27 (8) :568-569. (in Chinese) 黄怡, 刘瑞, 唐岩, 等.胰腺结核五例临床分析并文献复习[J].中华结核和呼吸杂志, 2004, 27 (8) :568-569. [4]GOU L, GUO H, WANG J, et al.Multislice spiral CT manifestations of patients with pancreatic tuberculosis[J/CD].Chin J Exp Clin Infect Dis:Electronic Edition, 2017, 11 (2) :168-171. (in Chinese) 苟丽, 郭辉, 王佳, 等.胰腺结核患者的多层螺旋CT表现[J/CD].中华实验和临床感染病杂志:电子版, 2017, 11 (2) :168-171. [5]XIAO H, ZHANG BX, CHEN XP.Pancreatic tuberculosis:A case report and literature review[J].J Abdominal Surg, 2012, 25 (1) :57-58. (in Chinese) 肖华, 张必翔, 陈孝平.胰腺结核一例并文献复习[J].腹部外科, 2012, 25 (1) :57-58. [6]DAVID AW, EAPEN A, VYAS FL, et al.The pancreas and Tuberculosis:A diagnostic challenge[J].Indian J Gastroenterol, 2008, 27 (1) :29-30. [7]ZHONG SX, ZHAO P, YANG ZY, et al.Tuberculosis of the pancreatic head[J].Chin J Surg, 1996, 34 (8) :476-478. (in Chinese) 钟守先, 赵平, 杨志英, 等.胰头部结核八例报告[J].中华外科杂志, 1996, 34 (8) :476-478. [8]YAN CQ, GUO JC, ZHAO YP.Pancreatic tuberculosis:Report of 13cases[J].J Hepatobiliary Surg, 2006, 14 (6) :430-453. (in Chinese) 闫长青, 郭俊超, 赵玉沛.胰腺结核临床分析13例[J].肝胆外科杂志, 2006, 14 (6) :430-453. [9]KOKLU S, KOKSAL A, YOLCU OF, et al.Isolated splenic vein thrombosis:An unusual cause and review of the literature[J].Can J Gastroenterol, 2004, 18 (3) :173-174. [10]D'CRUZ S, SACHDEV A, KAUR L, et al.Fine needle aspiration diagnosis of isolated pancreatic tuberculosis.A case report and review of literature[J].JOP, 2003, 4 (4) :158-162. [11]SONG TJ, LEE SS, PARK DH.Yield of EUS-guided FNA on the diagnosis of pancreatic/peripancreatic tuberculosis[J].Gastrointest Endosc, 2009, 69 (3Ptl) :484-491. [12]VILMANN P, SAFTOIU A.Endoscopic ultrasound-guided fine needle aspiration biopsy:Equipment and technique[J].J Gastroenterol Hepatol, 2006, 21 (11) :1646-1655. [13]SALUJA SS, RAY S, PAL S, et al.Hepatobiliary and pancreatic tuberculosis:A two decade experience[J].BMC Surg, 2007, 7:10.
本文二维码
计量
- 文章访问数: 1776
- HTML全文浏览量: 7
- PDF下载量: 395
- 被引次数: 0