从十二指甲炎到狭窄:解读多年来部分环状胰腺的影响
Harshita Alok1, Lukshay Bansal2, Akhila Prasad3
1Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Abdominal radiology (New York)
|December 10, 2025
概括
部分环状胰腺 (PAP),一种罕见的胰腺变体,可以导致成人胃肠道问题,如阻塞. 早期识别和手术治疗对于有症状的病例至关重要,以防止严重的并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 部分环状胰腺 (PAP) 是一种罕见的先天性异常,胰腺组织围绕着十二指肠.
- 通常无症状,PAP可以在成年时表现为并发症,如胰腺炎,十二指肠或阻塞.
- 微妙的放射学发现可能导致诊断延迟.
研究的目的:
- 报告一个成人开始的胃出口阻塞的病例,这是PAP的次要原因.
- 要突出与PAP相关的炎症性疾病的进展到机械阻塞.
- 强调早期识别和手术干预对于症状性PAP的重要性.
主要方法:
- 一个成年男性患有长期间歇性胃出口阻塞的病例报告.
- 审查临床表现,诊断挑战和PAP的管理.
- 对于PAP的继发性渐进的十二指肠狭窄的手术干预.
主要成果:
- 患者出现了十二指肠和十二指肠炎,进展到狭窄.
- 保守的管理失败了,需要手术干预.
- 该案例说明了PAP导致机械阻塞的长期影响.
结论:
- 症状性PAP需要迅速识别和量身定制的管理,通常是外科手术.
- 延迟诊断和治疗可能导致严重的并发症,如十二指肠狭窄.
- 早期的外科干预可以预防疾病的进展,并改善患者的治疗结果.
相关概念视频
Chronic Pancreatitis I: Introduction
643
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
643
Chronic Pancreatitis II: Collaborative Care
282
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
282
Acute Pancreatitis I: Introduction
1.1K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
1.1K
Chronic Bowel Disorders: Introduction
721
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
721
Endoscopic Procedures V: ERCP
2.5K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.5K
Acute Pancreatitis II: Clinical Manifestations and Management
693
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
693


