复发性乙性胰腺炎与乙性胃肠炎:一个病例报告
Xinyu Li1, Donglei Zhang1, Yanchen Li2
1Department of Gastroenterology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
The American journal of case reports
|March 9, 2026
概括
异性胰腺炎 (EP) 是一种罕见的疾病,它带来了诊断上的挑战. 通过内镜早期诊断和及时的皮质类固醇治疗对于有效治疗和预防进展至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 内分泌学 在内分泌学.
背景情况:
- 异性胰腺炎 (EP) 很少见 (<1%的病例),并且由于症状与其他胰腺炎类型重叠,难以诊断.
- 诊断的挑战源于异质的表现和需要侵入性活检来确认eosinophilic透.
- 由于胰腺活检的罕见性和侵入性,误诊率很高.
研究的目的:
- 提交一份病例报告,详细介绍埃索诺菲尔性胰腺炎的成像和组织病理学发现.
- 突出EP的诊断挑战和有效的治疗策略.
- 为了强调EP和亚临床菌性胃肠炎 (EGE) 之间的关联.
主要方法:
- 一个68岁的男性患有复发性胰腺炎的病例报告.
- 诊断工具包括CT,MRCP,EUS和EUS引导的细针吸收 (EUS-FNA).
- 诊断证实通过组织学证据,在排除了次要原因后,出现了异黄素透 (>10/hpf) 的证据.
主要成果:
- 患者出现了重复的严重腹痛,并被诊断为EP.
- 在初始内镜检查过程中偶然发现了乳酸性胃肠炎 (EGE).
- EUS-FNA证实了EP; 随着皮质类固醇治疗,症状迅速消失.
结论:
- 乙性胰腺炎是一种罕见但严重的胰腺炎亚型,需要早期诊断.
- 内镜可以帮助确定不明原因胰腺炎的组织学诊断.
- 皮质类固醇治疗在治疗EP和相关EGE方面非常有效,可以缓解症状并防止进展.
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