通过内镜超声波诊断的复杂胰腺胆道错位:一个病例报告
1Department of Gastroenterology, Shenzhen Hospital of Southern Medical University, Shen Zhen, Guangdong, China.
Medicine
|December 17, 2024
概括
本案例报告强调了一个复杂的胰腺胆道错位 (PBM) 病例. 通过内镜超声波和ERCP与支架的早期诊断,随后进行手术,有效地解决了症状.
科学领域:
- 胃肠道学和肝胆道外科
- 诊断成像 诊断成像 诊断成像
- 内镜手术 进行内镜手术
背景情况:
- 胰腺胆道错位 (PBM) 是一种先天性异常,需要更好地了解主动管理.
- 一名24岁的女性出现了反复的腹痛和胆结石病史.
研究的目的:
- 为了提高对复杂的胰腺胆道错位 (PBM) 的理解.
- 促进PBM的积极治疗策略.
主要方法:
- 诊断涉及紧急内镜逆行胆血管细胞造影 (ERCP),术内内镜超声波和术后磁共振胆血管细胞造影.
- 患者接受了保守的治疗,包括ERCP与胰腺管道支架放置.
- 外科干预包括腹腔镜左半肝切除术,胆道胆囊切除术,胆囊切除术和肝门胆道血管整形术.
主要成果:
- 诊断了复杂的PBM (JSPBM,D型),胆固醇囊 (Todani, Ic),不完整的胰腺分裂和早期慢性胰腺炎.
- 患者经历了手术后腹部疼痛的完全消失.
- 患者继续接受定期的随访,没有出现症状的复发.
结论:
- 内镜超声波是诊断复杂的PBM和不完整的胰腺分裂的一个有价值的工具.
- 带有胰腺管支架的ERCP与外科干预相结合,为症状性PBM提供了可靠的治疗方法.
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