维普中文期刊产品整合服务

EUS mini probes in diagnosis of cystic dystrophy of duodenal wall in heterotopic pancreas:A case report

查看全文 作　　者：Ivan [1]Jovanovic;Srbislav [2]Knezevic;Miodrag [1]Krstic;Marjan [3]Micev 高影响力作者 机构地区：[1]Clinic of Gastroenterology and Hepatology,Institute of Digestive Diseases,Belgrade,Serbia and Montenegro;[2]First Surgical Clinic,Belgrade,Serbia and Montenegro;[3]Clinical Center of Serbia,Belgrade,Institute for Medical Research,Belgrade,Serbia and Montenegro高影响力机构 出　　处：《World Journal of Gastroenterology》索引2004年第10卷第17期,共4页高影响力期刊 摘　　要：Cystic dystrophy of the duodenal wall is a rare condition characterized by the development of cysts in heterotopic pancreatic tissue localized in the duodenal wall. A 38-year-old man was admitted to the hospital for abdominal pain and vomiting after food intake. The diagnosis of acute pancreatitis was initially suspected. Abdominal ultrasound examination revealed thickening of the second portion of duodenal wall within which, small cysts (diameter, less than 1 cm) were present in the vicinity of pancreatic head.The head of pancreas appeared enlarged (63 mm×42 mm)and hypoechoic. Upper endoscopy and barium X-ray series were performed revealing a severe circumferential deformation, as well as 4 cm long stenosis of the second portion of the duodenum. CT examination revealed multiple cysts located in an enlarged, thickened duodenal wall with moderate to strong post-contrast enhancement. We suspected that patient had cystic dystrophy of duodenal wall developed in the heterotopic pancreas and diagnosis was confirmed by endoscopic ultrasound (EUS). Endoscopi cutrasound (EUS) revealed drcular stenosis from the duodenal bulb onwards. A twenty megaHertz mini-probe examination further showed diffuse (intramural) infiltration of duodenal wall limited to the submucosa and muscularis propria of the second portion of duodenum with multiple microcysts within the thickened mucosa and submucosa, a. Patient was successfully surgically treated and pancreatoduodenectomy was performed. The pathological examination confirmed a diagnosis of cystic dystrophy of a heterotopic pancreas.Endoscopic ultrasonography features allow preoperative diagnosis of cystic dystrophy of a heterotopic pancreas in duodenal wall, with inb'alumina120 MHz mini probe sonography being more efficient in cases of luminal stenosis. 关 键 词：EUS 迷你性探测器 胆囊 营养失调 十二指肠 异位性胰腺炎 消化系统
相关文献

参考文献(29)

引证文献(10)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费