Clinical Features of Ectopic Pancreas（Report of 11 Cases）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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崔彦 ¹ , 吉敏 ¹ , 周金莲 ² , 李成林 ¹

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Keywords：

胰腺; 异位

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目的　探讨异位胰腺的临床特点。方法　回顾性分析解放军第306医院1996年10月至2004年12月收治的11例异位胰腺患者的临床资料。结果　异位胰腺组织位于胃小弯1例，胃窦3例，空肠2例，回肠2例，胆囊壁1例，肝左外叶胆管壁1例，胆总管壁1例。表现为间歇性下消化道出血2例，因反复腹痛、发热,行钡餐检查发现空肠憩室而诊断为空肠憩室炎1例，胆囊息肉样病变、急性胆囊炎伴胆源性胰腺炎1例，肝胆管结石并反复急性胆管炎1例，胆总管占位性病变1例，余5例无明显症状和体征。11例术前均未考虑异位胰腺，其中10例为腹部手术偶然发现， 1例为胃镜活检证实。11例异位胰腺均单发，直径为0.5～1.8 cm。结论　异位胰腺虽然少见，在胃肠道和胆道疾病的鉴别诊断中对该病应予重视。

Citation： 崔彦,吉敏,周金莲,李成林. Clinical Features of Ectopic Pancreas（Report of 11 Cases）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(6): 712-713. doi: Copy

1.	Bradley Ⅲ EL, Zeppa R. The Pancreas [A]. In: Sabiston DC. Eds. Textbook of Surgery. The biological basis of modern surgical practice [M]. 13th ed. Philadelphia: W.B.Saunders Company, 1986∶1170-1175.
2.	Jeong HY, Yang HW, Seo SW, et al. Adenocarcinoma arising from an ectopic pancreas in the stomach[Ｊ]. Endoscopy， 2002; 34(12)∶1014.
3.	Nisar PJ, Zaitoun AM, Lobo DN, et al. Heterotopic pancreas in the spleen: malignant degeneration to mucinous cystadenocarcinoma [Ｊ]. Eur J Gastroenterol Hepatol, 2002; 14(7)∶793.
4.	Tan HL, Yoong A, Yu CC. Ectopic pancreatic rests: a rare cause of persistent umbilical discharge [Ｊ]. Pediatr Surg Int, 2000; 16(1-2)∶116.
5.	周　玲, 李　波, 胡建昆, 等. 异位胰腺的诊断和治疗 [Ｊ]. 中国普外基础与临床杂志, 2003; 10(6)∶555.
6.	杨一春, 徐　聃, 郑晓红. 盆腔异位胰腺一例 [Ｊ]. 中华放射学杂志, 2001; 35(11)∶875.
7.	赖淑君, 蔡忠凤, 吴胜海. 新生儿腹股沟异位胰腺一例 [Ｊ]. 中华小儿外科杂志, 2003; 24(2)∶175.
8.	Joo YE, Kim HS, Choi SK, et al. Massive gastrointestinal bleeding caused by ectopic pancreas mimicking jejunal tumor [Ｊ]. Digestion, 2001; 64(2)∶133.
9.	Inceoglu R, Dosluoglu HH, Kullu S, et al. An unusual cause of hydropic gallbladder and biliary colic-heterotopic pancreatic tissue in the cystic duct: report of a case and review of the literature [Ｊ]. Surg Today, 1993; 23(6)∶532.
10.	Kondi-Paphiti A, Antoniou AG, Kotsis T, et al. Aberrant pa-ncreas in the gallbladder wall [Ｊ]. Eur Radiol, 1997; 7(7)∶1064.
11.	Hsia CY, Wu CW, Lui WY. Heterotopic pancreas: a difficult diagnosis [Ｊ]. J Clin Gastroenterol, 1999; 28(2)∶144.
12.	Park SH, Han JK, Choi BI, et al. Heterotopic pancreas of the stomach: CT findings correlated with pathologic findings in six patients [Ｊ]. Abdom Imaging, 2000; 25(2)∶119.

1. 　Bradley Ⅲ EL, Zeppa R. The Pancreas [A]. In: Sabiston DC. Eds. Textbook of Surgery. The biological basis of modern surgical practice [M]. 13th ed. Philadelphia: W.B.Saunders Company, 1986∶1170-1175.
2. 　Jeong HY, Yang HW, Seo SW, et al. Adenocarcinoma arising from an ectopic pancreas in the stomach[Ｊ]. Endoscopy， 2002; 34(12)∶1014.
3. 　Nisar PJ, Zaitoun AM, Lobo DN, et al. Heterotopic pancreas in the spleen: malignant degeneration to mucinous cystadenocarcinoma [Ｊ]. Eur J Gastroenterol Hepatol, 2002; 14(7)∶793.
4. 　Tan HL, Yoong A, Yu CC. Ectopic pancreatic rests: a rare cause of persistent umbilical discharge [Ｊ]. Pediatr Surg Int, 2000; 16(1-2)∶116.
5. 　周　玲, 李　波, 胡建昆, 等. 异位胰腺的诊断和治疗 [Ｊ]. 中国普外基础与临床杂志, 2003; 10(6)∶555.
6. 　杨一春, 徐　聃, 郑晓红. 盆腔异位胰腺一例 [Ｊ]. 中华放射学杂志, 2001; 35(11)∶875.
7. 　赖淑君, 蔡忠凤, 吴胜海. 新生儿腹股沟异位胰腺一例 [Ｊ]. 中华小儿外科杂志, 2003; 24(2)∶175.
8. 　Joo YE, Kim HS, Choi SK, et al. Massive gastrointestinal bleeding caused by ectopic pancreas mimicking jejunal tumor [Ｊ]. Digestion, 2001; 64(2)∶133.
9. 　Inceoglu R, Dosluoglu HH, Kullu S, et al. An unusual cause of hydropic gallbladder and biliary colic-heterotopic pancreatic tissue in the cystic duct: report of a case and review of the literature [Ｊ]. Surg Today, 1993; 23(6)∶532.
10. 　Kondi-Paphiti A, Antoniou AG, Kotsis T, et al. Aberrant pa-ncreas in the gallbladder wall [Ｊ]. Eur Radiol, 1997; 7(7)∶1064.
11. 　Hsia CY, Wu CW, Lui WY. Heterotopic pancreas: a difficult diagnosis [Ｊ]. J Clin Gastroenterol, 1999; 28(2)∶144.
12. 　Park SH, Han JK, Choi BI, et al. Heterotopic pancreas of the stomach: CT findings correlated with pathologic findings in six patients [Ｊ]. Abdom Imaging, 2000; 25(2)∶119.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Features of Ectopic Pancreas（Report of 11 Cases）

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