CT诊断外伤性胰腺部分断裂合并假性囊肿1例
Chinese Imaging Journal of Integrated Traditional and Western Medicine（2015）
Abstract
女,41岁,外伤后10d,持续腹痛不缓解收入院.查体;腹平软,剑突下及右上腹压痛明显,无反跳痛,剑突下可触及一肿物包块,质韧压痛明显,肝脏肋下未及,脾区叩痛(-),肝区叩痛(+),双肾区叩痛(-),肠鸣音正常.实验室检查;WBC 16.81×109/L,RBC 4.46×109/L,HGB 134 g/L.CT 检查;胰腺肿大,边界模糊;胰腺体部前缘断裂,呈楔状裂隙,后部尚连接,远断端指向右前方(图1,2);其前方可见包裹状肿块,内含中等量液体,并向上延伸至肝裂(图3);CT 诊断为胰腺部分断裂合并胰腺假性囊肿形成.
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