Duodenal heterotopic pancreas in a child
Duodenal heterotopic pancreas in a child
复制标题
儿童十二指肠异位胰腺
DOI：
10.1007/s12519-009-0029-y
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发表时间：
2009-07
期刊：
影响因子：
--
通讯作者：
郑丽端
中科院分区：
文献类型：
--
作者：
郑丽端
背景异位胰腺是以胰腺组织位于胰床外为特征的胰腺疾病。然而，十二指肠异位胰腺在儿童中的报道很少。我们在此描述的十二指肠异位胰腺在一个孩子谁患有慢性abdominal pain.MethodsAn 8岁的男孩上腹部疼痛和间歇性呕吐，没有黑便，便血，呕血，粘土色的粪便，黄疸，肝炎或恶液质的历史。没有特定的药物或位置的变化缓解了疼痛。根据血清淀粉酶水平升高，以及CT、钡餐X线检查、磁共振成像和上消化道内窥镜检查的结果，初步诊断为十二指肠肿块。术中冰冻切片分析进行诊断。结果术中冰冻切片分析及常规病理检查证实为十二指肠异位胰腺。病人有一个顺利的恢复，并保持无症状术后随访期间为16 months.ConclusionsHeterotopic胰腺应考虑在儿童的十二指肠肿块和腹痛。术中冰冻切片分析有助于本病的诊断。病变应进行手术治疗，以防止出血，溃疡，出口梗阻或恶性变性。
BackgroundHeterotopic pancreas is characterized by pancreatic tissue outside the pancreatic bed. However, duodenal heterotopic pancreas in children is rarely reported so far. We describe herein duodenal heterotopic pancreas in a child who suffered from chronic abdominal pain.MethodsAn 8-year-old boy presented with upper abdominal pain and intermittent vomiting, without a history of melena, hematochezia, hematemesis, claycolored stools, jaundice, hepatitis or dyscrasia. No specific medication or change in position relieved the pain. Based on the elevated serum amylase levels, and the findings of CT, barium meal X-ray examination, magnetic resonance imaging, and upper gastrointestinal endoscopy, a duodenal mass was diagnosed initiatively. Intraoperative frozen section analysis was performed for the diagnosis. The mass was dissected.ResultsIntraoperative frozen section analysis and routine pathological examination confirmed the diagnosis of duodenal heterotopic pancreas. The patient had an uneventful recovery and remained asymptomatic postoperatively during a follow-up period of 16 months.ConclusionsHeterotopic pancreas should be considered in children with a duodenal mass and abdominal pain. Intraoperative frozen section analysis is helpful in the diagnosis of the disease. Surgical treatment of the lesion should be performed to prevent bleeding, ulceration, outlet obstruction or malignant degeneration.
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影响因子：
2.5
作者：
S. Ueno;H. Ishida;A. Hayashi;S. Kamagata;M. Morikawa
通讯作者：
S. Ueno;H. Ishida;A. Hayashi;S. Kamagata;M. Morikawa
影响因子：
9
作者：
CONNOLLY, MM;DAWSON, PJ;LOWENSTEIN, F
通讯作者：
LOWENSTEIN, F
DOI：
--
发表时间：
2002-05
期刊：
Hepatobiliary & pancreatic diseases international : HBPD INT
影响因子：
--
作者：
Hong-qi Shi;Qi-yu Zhang;H. Teng;Ji-Cai Chen
通讯作者：
Hong-qi Shi;Qi-yu Zhang;H. Teng;Ji-Cai Chen
影响因子：
6.5
作者：
Li-xiong Lu;Wei Zhou;Xingyu Zhang;Q. Cao;Kanglong Yu;Changqing Zhu
通讯作者：
Li-xiong Lu;Wei Zhou;Xingyu Zhang;Q. Cao;Kanglong Yu;Changqing Zhu
影响因子：
2.5
作者：
M. Indinnimeo;C. Cicchini;A. Stazi;C. Ghini;A. Laghi;L. Memeo;R. Iannaccone;F. Teneriello;P. Mingazzini
通讯作者：
M. Indinnimeo;C. Cicchini;A. Stazi;C. Ghini;A. Laghi;L. Memeo;R. Iannaccone;F. Teneriello;P. Mingazzini