主胰管反穿导丝副胰管支架置入术治疗不完全性胰腺分裂症致复发性急性胰腺炎1例报告

曹菲; 潘长宝; 徐庆成; 陈炜炜; 邓登豪; 向晓星; 陈娟

doi:10.3969/j.issn.1001-5256.2020.12.033

主胰管反穿导丝副胰管支架置入术治疗不完全性胰腺分裂症致复发性急性胰腺炎1例报告

DOI: 10.3969/j.issn.1001-5256.2020.12.033

江苏省苏北人民医院消化内科

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中图分类号: R657.51
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出版历程
- 出版日期: 2020-12-20

Treatment of recurrent acute pancreatitis caused by incomplete pancreatic divisum via stent implantation of the accessory pancreatic duct by a reversed guide wire through the main pancreatic duct: A case report

Department of Gastroenterology,Subei People's Hospital of Jiangsu

摘要

摘要:
<正>1病例资料患者女性,56岁。最初于2016年诊断为急性胰腺炎（acute pancreatitis,AP）,予内科对症治疗后,腹痛好转出院。出院后严格控制饮食,未暴饮暴食及食用油腻食品。2019年4月因"中上腹痛不适20 d,加重1 d"入院,查淀粉酶443 U/L,脂肪酶698 U/L,血常规、血脂、肝肾功能均正常。磁共振胰胆管造影（MRCP）示:胆囊结石,胆囊炎;胰腺炎改变,胰周渗出,胰管扩张胰尾部囊性信号影;胆总管稍扩张,胆总管下段小结石可能;肝左叶、左肾异常信号（图1a）。诊断为急性胰腺炎（胆源性）,胆囊结石伴胆囊炎,胆总管结石。行腹腔镜胆囊切除术+十二指肠镜检查术+十二指肠乳头息肉活检术,
- 急性胰腺炎 /
- 不完全性胰腺分裂症 /
- 胆管造影术
- acute pancreatitis /
- incomplete pancreatic divisum /
- cholangiography

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参考文献(12)

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