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Heterotopic Pancreas with Perforation of Duodenal Ulcer: a Case Report and Review of Literature
異位胰症合併十二指腸潰瘍穿孔病例報告及文獻回顧
摘要
一位二十一歲年輕男性因嚴重腹痛有六小時之久而住院檢查，胸部站立X光及腹部X光符合消化潰瘍穿孔。因此，外科立即行剖腹採查術與雙側迷走神經切除術、半胃切除術、及Billroth-II吻合手術。經病理檢查發現十二指腸潰瘍穿孔是由異位胰症所造成。文獻回顧，異位胰症在十二指腸及胃中只有潰瘍合併出血及阻塞併發症，並無穿孔報告，故在此提出。
關鍵字
異位胰症並列摘要
A 21-year-old man was admitted to the Chinese Navy General Hospital because of severe abdominal pain (or six hours. The chest P-A upright film and abdominal plain X- ray findings were consistent with a perforated peptic ulcer. Therefore, an exploratory laparotomy with bilateral truncal vagotomy, hemigastrectomy, and Billroth-II anastomosis was performed. However, pathologically， the perforation of duodenal ulcer proved to be from a heterotopic pancreas.