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MDCT Manifestations of Mediastinal Pancreatic Pseudocyst Mimic Hiatus Hernia: A Case Report
胰臟僞囊腫擬裂孔性疝氣：病例報告
摘要
縱隔胰臟偽囊腫是很少見的胰腺炎併發症。它的綜合症狀和胸部X 光影像很容易地與裂孔性疝氣混淆。在電腦斷層軸向影像，縱隔的胰臟偽囊腫是對醫師臨床診斷的挑戰。我們在此介紹一位51 歲男性以上腹痛，嘔吐和噁心表現。胸部X 光影像和軸向電腦斷層影像顯示後縱隔囊狀病變。此縱隔囊狀病變與裂孔性疝氣影像不易區分。但使用多切面電腦斷層重組影像，就很容易地知道縱隔囊狀病變與胰臟的關係，進而區分裂孔性疝氣。
關鍵字
無資料並列摘要
Mediastinal pancreatic pseudocyst is rarely a complication of pancreatitis. Both the syndrome itself and diagnostic chest radiograph can easily be confused with hiatus hernia. It is a challenge for radiologists to distinguish a mediastinal pancreatic pseudocyst from a mediastinal cystic lesion on CT (computed tomography) axial imaging. Here, we present the case of a 51-year old man with severe epigastralgia, vomiting and nausea. Chest radiograph and axial CT imaging revealed a posterior mediastinal cystic mass which could be mistaken as hiatus hernia. Using MDCT (multidetector computed tomography) coronal and sagittal images, it is easy to distinguish between a mediastinal lesion (e.g., hiatus hernia) and the pancreas, and thus it is possible to distinguish a mediastinal pancreatic pseudocyst.
並列關鍵字
無資料延伸閱讀
- Ho, K. S., Tsao, T. Y., Lin, Y. C., Chang, T. M., Liaw, C. W., & Tung, J. N. (2005). 胰臟淋巴上皮性囊腫：－病例報告. 臺灣消化醫學雜誌, 22(2), 159-166. https://doi.org/10.6557/GJT.200506_22(2).0007
- 大田生穗、蔣咸嘉、黃倫奕（1987）。慢性胰臟炎併發假性囊腫囊內出血－病例報告。中華放射線醫學雜誌，12(1)，71-74。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198703-12-1-71-74-a
- Li, C. C., Lin, C. H., Ho, S. Y., Fang, H. Y., & Lin, Y. M. (2007). 胰臟偽囊腫以後縱膈腫瘤表現：病例報告. 胸腔醫學, 22(4), 293-298. https://doi.org/10.29806/TM.200708.0011
- Chiu, H. H., Lin, M. T., & Huang, C. C. (2010). 侵犯脾臟的胰臟假性囊腫：一病例報告. 臺灣消化醫學雜誌, 27(1), 18-21. https://doi.org/10.6557/GJT.201003_27(1).0003
- Chen, Y. H., Hsu, H. Y., Cheng, Y. H., & Lin, Y. M. (2010). 胰臟神經內分泌腫瘤併囊狀變化及大腸桿菌感染：一病例報告. 臺灣消化醫學雜誌, 27(3), 290-295. https://doi.org/10.6557/GJT.201009_27(3).0008