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Pancreas divisum misdiagnosed as intraductal papillary mucinous neoplasms of the pancreas: A case report
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摘要:
<正>1病例资料患者男性,53岁,因"中上腹胀痛9 h余"于2019年8月18日于当地卫生院就诊。患者因进食油腻食物后出现中上腹持续性胀痛,无恶心呕吐、畏寒寒战、头痛头晕、胸闷胸痛,于外院就诊查腹部CT提示:急性胰腺炎。血淀粉酶4188 U/L,尿淀粉酶38 508 U/L。外院诊断为急性胰腺炎,予抑酸、抑酶、补液、胃肠减压等治疗后患者腹痛未缓解,为求进一步诊治,遂来苏北人民医院就诊。既往发作急性胰腺炎2次,慢性支气管炎病史11年。无糖尿病、高血压、高脂血症病史。入院查体:体温37℃,
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关键词:
- 胰腺分裂症 /
- 胰腺导管内乳头状粘液瘤 /
- 诊断
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Key words:
- pancreas divisum /
- intraductal papillary mucinous neoplasms /
- diagnosis
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[1] SHAH R,MEKAROONKAMOL P,PATEL VA,et al. Performance characteristics of magnetic resonance imaging in patients with pancreas divisum[J]. Pancreas,2019,48(10):1343-1347. [2] SUN J,TAI S. Advances in diagnosis and treatment of pancreatic schizophrenia[J]. J Hepatopancreatobiliary Surg,2014,26(2):173-176.(in Chinese)孙骥，邰升．胰腺分裂症的诊断与治疗进展[J]．肝胆胰外科杂志，2014,26(2):173-176. [3] LEHMAN GA,SHERMAN S,NISI R,et al. Pancreas divisum:Results of minor papilla sphincterotomy[J]. Gastrointest Endosc,1993,39(1):1-8. [4] LEE JE,CHOI SY,MIN JH,et al. Determining malignant potential of intraductal papillary mucinous neoplasm of the pancreas:CT versus MRI by using revised 2017 international consensus guidelines[J]. Radiology,2019,293(1):134-143. [5] LOU WH,RONG YF. Clinical significance of pathological subtypes in the intraductal papillary mucinous neoplasm of the pancreas[J]. Chin J Dig Surg,2020,19(4):370-373.(in Chinese)楼文晖，戎叶飞．组织病理学分型在胰腺导管内乳头状黏液性肿瘤中的临床意义[J]．中华消化外科杂志，2020,19(4):370-373. [6] WANG W,LI ZS,GAO J. Advances in pancreatitic intraductal papillary mucinous neoplasms[J]. World Chin J Dig,2008,16(18):2025-2030.(in Chinese)王伟，李兆申，高军．胰腺导管内乳头状黏液性肿瘤研究进展[J]．世界华人消化杂志，2008,16(18):2025-2030. [7] FERRI V,VICENTE E,QUIJANO Y,et al. Diagnosis and treatment of pancreas divisum:A literature review[J]. Hepatobiliary Pancreat Dis Int,2019,18(4):332-336. -
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