摘要
目的 探讨腹部异位胰腺(EP)的 CT征象。方法 搜集经病理证实的7例腹 部EP,对其CT平扫及三期增强表现作回 顾性分析。结果 7例EP均为单发,其中 4例于胃窦小弯侧,1例于胃窦大弯侧, 1例于十二指肠降部,1例空肠上段系膜 区。5例椭圆形,边缘光整2例形态不规 则,边缘轻度分叶状、小结节状。6例胃 肠道EP中,有1例周围出现脂肪密度。平 扫及增强 CT 6例病灶平扫密度均匀,增 强各期与主胰腺强化一致,1例合并胰腺 炎平扫密度及强化程度较主胰腺减低。 结论 CT平扫和增强可显示腹部异位胰腺 的位置、大小、形态、密度和强化形式 的特点,对腹部EP的诊断有重要价值。
Objective To explore the CT features of ectopic pancreas (EP) in abdomen. Methods Non-enhanced CT and enhanced CT of 7 patients with ectopic pancreas in abdomen confirmed by pathology were retrospectively analyzed and summarized. Results All patiens had a single lesion; five occurred in the stomach, including the gastric antrum lesser curvature (n=4) and greater curvature (n=1), one were in the descending duodenum ,and one occurred in the mesentery. Five cases appeared ovoid shape, and two cases lobulated shape, nodular. There was fat tissue arround one lesion in the gastric antrum. Six cases showed density and enhancement similar to those of normal pancreas. One case with acute pancreatitis showed density and enhancement significantly lower than that of the normal pancrea. Conclusion Non-enhanced CT and enhanced CT provide useful information about the location, size, shape, density, enhancement patter of ectopic pancreas in abdomen, and were important in the diagnosis of EP.
【关键词】异位胰腺;腹部;体层摄影术,X线计算机
【中图分类号】R322.4+91
【文献标识码】A
【DOI】10.3969/j.issn.1672- 5131.2017.01.023
前言
异位胰腺(ectopic pancreas,EP)是一种少见的先天性变异,又称 迷走胰腺或副胰腺,是指生长在正常胰腺解剖部位以外的孤立胰腺组 织,与正常的胰腺主体间无解剖和血管的联系,拥有独立的血液供应 和神经支配。EP大多于胃、十二指肠及近段空肠,少部分于胃肠外。 腹部EP临床上患者通常无症状,合并炎症、出血或恶变时可伴有腹痛 或腹部包块。消化道EP无症状时术前多因伴有其他疾患偶然被内镜检 查发现。内镜对病变的诊断与操作者的经验、技术密切相关,一般只 能发现十二指肠及其以上消化道的隆起性病变。CT可客观反映上消化 道EP的影像表现,并且能显示上消化道以外的腹部EP征象。本文回顾 性分析了我院2011年10月至2015年6月经手术病理证实了的腹部EP7例 患者的CT影像资料,结合相关文献分析以提高对该病的诊断水平。
中国CT和MRI杂志
第15卷, 第 1 期
2017年01月
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