Intraluminal duodenal diverticulum causing acute pancreatitis: CT scan diagnosis and review of the literature
Intraluminal duodenal diverticulum causing acute pancreatitis: CT scan diagnosis and review of the literature
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DOI：
10.1159/000018854
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发表时间：
2000-01-01
影响因子：
2.7
通讯作者：
Tiberio, G
中科院分区：
文献类型：
--
作者：
De Rai, P;Castoldi, L;Tiberio, G
背景：十二指肠腔内憩室是一种罕见的先天性异常。博伊德于1845年首次描述了这种疾病，到目前为止，报告的病例不超过100例：只有17例与急性胰腺炎有关。方法：报告1例十二指肠腔内憩室合并急性胰腺炎，并复习相关文献。结果：螺旋CT扫描确诊。胰腺炎的发病机制可能是由于十二指肠内容物通过Vater乳头的纯反流所致。这位病人通过手术成功地治疗了。结论：十二指肠腔内憩室是一种罕见但可治愈的胰腺炎病因，通常影响年轻人。我们首次描述了其不同寻常的螺旋CT二维重建成像。版权所有(C)2000 S.Karger AG，巴塞尔。
Background: Intraluminal duodenal diverticulum is a rare congenital anomaly. First described by Boyd in 1845, no more than 100 cases have been reported up to now: only 17 are associated with acute pancreatitis. Methods: A new case of intraluminal duodenal diverticulum with acute pancreatitis is reported and the literature about this association reviewed. Results: The diagnosis was made by helical CT scan. The pathogenesis of pancreatitis was possibly due to a pure duodenal content reflux through the papilla of Vater. The patient was successfully treated by surgery. Conclusions: Intraluminal duodenal diverticulum is a rare but curable cause of pancreatitis, usually affecting young people. We describe, for the first time, its unusual helical CT imaging with two-dimensional reformations. Copyright (C) 2000 S. Karger AG, Basel.