PDF(Pubmed)
Abstract：
Ectopic pancreas within the mesentery is rare. In this case report, a 61-year-old man with an ectopic pancreas within the jejunal mesentery for over 20 years developed chronic pancreatitis that progressed to acute exacerbation. Our computed tomography (CT) performed for acute abdomen assessment suggested acute appendicitis or Meckel\'s diverticulitis. However, a CT scan taken 20 years ago revealed a structure indicative of an ectopic pancreas in the mesentery, and further imaging findings taken 10 and 4 years ago confirmed progression to chronic pancreatitis. Furthermore, we found a pancreatic stone confined in the luminal structure that corresponded to the main pancreatic duct; this stone eventually caused acute exacerbation. In summary, we report a case of mesenteric ectopic pancreas that showed typical findings of progression and acute exacerbation of chronic pancreatitis on CT.
摘要：
肠系膜内的异位胰腺很少见。在这个案例报告中,一名61岁的空肠肠系膜内胰腺异位超过20年的男性患者发展为慢性胰腺炎,进展为急性加重.我们进行的急性腹部评估的计算机断层扫描（CT）提示急性阑尾炎或Meckel憩室炎。然而,20年前的CT扫描显示肠系膜异位胰腺的结构，10年和4年前的进一步影像学检查结果证实进展为慢性胰腺炎.此外，我们发现胰腺结石局限在与主胰管相对应的管腔结构中;该结石最终导致急性加重。总之,我们报道一例肠系膜异位胰腺,CT显示慢性胰腺炎进展和急性加重的典型表现.
