文摘

严重的腹痛,患者的胰腺来源,有一些用最小的或模棱两可的发现在胰腺调查和胰腺疾病的病因学是难以捉摸的。这些病人的发现和结果在16(4男12女)接受了切除是谁报道。胰腺成像显示最小或模棱两可的结果在所有16个;胰腺divisum出现在5。起初都是管理保守,但需要切除症状的进展。排水过程进行了最初五但缓解疼痛的病人需要进一步手术前最好是暂时的。部分切除术需要12个,其中8个需要后续完成胰腺切除术和四个有一个阶段全部切除。9目前疼痛的病人免费后切除或改进,而六没有更好,一个病人死于一种不相关的原因。切除标本的组织学显示慢性炎性变化伴随着除了一个微妙的非炎症变化。这些变化包括管扩散,形成管道复杂,腺瘤结节,腺泡细胞萎缩,意义还不清楚。 These findings suggest a syndrome of minimal macroscopic and radiological change chronic pancreatitis with pain as its chief clinical feature and a distinct histology, the aetiology of which is unclear. It seems that there is a distinct syndrome of minimal change pancreatitis, among the group of patients which presents with the clinical features of chronic pancreatitis.