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岭南现代临床外科 ›› 2016, Vol. 16 ›› Issue (05): 543-545.DOI: 10.3969/j.issn.1009-976X.2016.05.008

• 论著与临床研究 • 上一篇    下一篇

以胆管炎起病的胰腺导管内乳头状粘液瘤一例并文献复习

景圆圆 吴雷超 冯健 焦华波   

  1. 中国人民解放军总医院第一附属医院肝胆外科
  • 通讯作者: 景圆圆

Intraductal papillary mucinous neoplasm of pancreas with acute cholangitis as the initial symptom: case report and literature review

JING Yuanyuan, WU Leichao, FENG Jian, JIAO Huabo   

  • Online:2016-10-20 Published:2016-10-20

摘要: 【摘要】 胰腺导管内乳头状粘液瘤(IPMN)为胰腺囊性肿瘤之一,特点为囊肿与胰管相通,伴胰管扩张。病理表现为囊肿分泌大量粘液及囊壁结节堵塞胰管,导致胰管扩张。文献报道临床以腹痛发病最为常见,本病例以少见的胆管炎表现起病,现报告并作文献复习如下。

关键词: 胰腺, 导管内乳头状粘液瘤, 胆管炎

Abstract: 【Abstract】〓Objective〓To summarize experienceofthe diagnosis and treatment of intraductal papillary mucinous neoplasm of the pancreas. Methods〓One case of intraductal papillary mucinous neoplasm of the pancreas in our hospital was reported and analyzed the treatment. Results〓The patients with acute cholangitis as the main clinical manifestations,and theintraductal papillary mucinous neoplasm of the pancreas was confirmed by combined imaging examination and duodenal endoscopy and retrograde pancreatic duct angiography. duodenopancreatectomy was performed and illuminated a clear type of mixing head of pancreaticintraductal papillary mucinous neoplasms of the pancreas. Conclusion〓The diagnosis of intraductal papillary mucinous neoplasm of the pancreas is feasible by clinical manifestations combined imaging examination and endoscopy.

Key words: Cholangitis, Intraductalpapillary mucinous neoplasm, Pancreas

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