胰管断开综合征:一个病例系列。

Satyam Satyam, Sapna Singh, Punit Kumar Sah
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引用次数: 1

摘要

胰管断开综合征(DPDS)是指远端胰腺组织与胃肠道之间存在胰管断开的情况。急性或慢性胰腺炎、腹部创伤和胰腺手术后,可导致胰管坏死或结构解体。目的:本研究的目的是描述DPDS在超声,计算机断层扫描和磁共振胆管胰管造影(MRCP)上的影像特征,以帮助诊断。我们提出了两种情况下DPDS及其影像学特征的病例系列,一种是急性坏死性胰腺炎患者,另一种是钝性腹部创伤患者。结论:影像学对术前诊断有重要意义。对比增强计算机断层扫描提供了胰管完整性的全面评估,它显示了胰管破坏的类型和部位。它是诊断胰管破裂的一种简单、有效的无创成像方式。Satyam S, Singh S, Sah PK。断链胰管综合征:一个病例系列。中华肝病与胃肠病杂志;2009;12(1):60-63。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Disconnected Pancreatic Duct Syndrome: A Case Series.

Disconnected pancreatic duct syndrome (DPDS) is a condition where there is a ductal disconnection between viable secreting distal pancreatic tissues and the gastrointestinal tract. It may follow acute or chronic pancreatitis, abdominal trauma, and pancreatic surgery, leading to necrosis or structural disintegration of the pancreatic duct.

Aim: The aim of our study is to describe the imaging features of DPDS on ultrasound, computed tomography, and magnetic resonance cholangiopancreatography (MRCP) that helps in diagnosis.We present a case series of DPDS with their imaging features in two settings, one in the patient with acute necrotizing pancreatitis and the other with blunt abdominal trauma.

Conclusion: Imaging plays a significant role in preoperative diagnosis. Contrast-enhanced computed tomography provides a comprehensive assessment of pancreatic duct integrity, and it shows its type and site of ductal disruption. It is a simple, effective noninvasive imaging modality in diagnosing pancreatic duct disruption.

How to cite this article: Satyam S, Singh S, Sah PK. Disconnected Pancreatic Duct Syndrome: A Case Series. Euroasian J Hepato-Gastroenterol 2022;12(1):60-63.

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