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摘要


一位65歲之男性病人曾在七年前因腹痛接受逆行性內視鏡胰臓造影術及剖腹探查術後診斷爲胰臓癌,當時接受胃膽囊造瘻術,手術後,病人仍有腹痛症狀。最近病人又接受了詳細檢查及外科手術,證實病人患有胰管癒合不全症及總膽管結石症。我們同時也討論了胰管癒合不全症之臨床表徵及診斷陷阱。

並列摘要


A 65 years old patient with epigastric and right upper abdominal pain was misdiagnosed as pancreatic carcinoma by endoscopic retrograde pancreatography and exploratory laparotomy. Abdominal pain still bothered him off and on for the following 7 years after by-pass operation. He received detailed examination again and was finally proved to have pancreas divisum and choledocholithiasis. The clinical presentations of pancreas divisum were discussed.

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