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Castleman’s disease presented as a rare unicentric pancreatic mass

Hepatobiliary & Pancreatic Diseases International 2019年第6期18卷 590-592页

作者： Velimir Markovic Dejan Stojakov Marijan Micev Stefan Kmezic dusan saponjski Zoran Krivokapic Clinic for Digestive Surgery–First Surgical Clinic Clinical Center of SerbiaBelgradeSerbia School of Medicine University of BelgradeSerbia KBC“Dragisa Misovic” BelgradeSerbia Department of Abdominal Radiology Center for Radiology and MRIClinical Center of SerbiaBelgradeSerbia

A 44-year-old male patient was initially presented with pain in the upper *** loss,jaundice and digestive disorders were not *** analysis showed white blood cell count 9.02×10^9,C-reactive protein(CRP)3 mg/L,and gastrin 38 ng/*** ultrasonography revealed tumor in the projection of duodenum and pancreatic *** and tumor markers(CA19-9,CEA,CA72-4,and AFP)were all negative.

关键词： Blood gastrin Colon

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Giant pseudoaneurysm of the splenic artery within walled of pancreatic necrosis on the grounds of chronic pancreatitis

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Hepatobiliary & Pancreatic Diseases International 2021年第1期20卷 87-89页

作者： Milica Mitrovic Jovanovic dusan saponjski Aleksandra Djuric Stefanovic Aleksandra Jankovic Stefan Milosevic Katarina Stosic Djordje Knezevic Jelena Kovac Department of Abdominal Radiology Center for Radiology and MRIClinical Center of SerbiaBelgradeSerbia Faculty of Medicine University of BelgradeBelgradeSerbia Clinic for Digestive Surgery–First Surgical Clinic Clinical Center of SerbiaBelgradeSerbia

Chronic pancreatitis is a long-standing inflammation of the pancreas,characterized by progressive inflammatory and fibrotic changes,resulting in permanent structural damage of pancreatic parenchyma[1].Pancreatitis(chronic or acute)is the primary risk factor for pseudo-splenic artery aneurysms,along with pancreatic pseudocysts and *** the disease progresses,patients with chronic pancreatitis may develop complications due to exocrine and endocrine pancreatic functional loss,such as fat malabsorption with steatorrhea,glucose intolerance,and ultimately diabetes mellitus[1,2].Furthermore,severe pancreatic inflammation can cause weakening of vessel walls,with subsequent formation of arterial *** artery is the most commonly affected visceral artery[2,3].Liver cirrhosis,portal hypertension,liver transplantation,atherosclerosis,hypertension,pregnancy and multiparity are main risk factors for true splenic artery aneurysms[2].Rupture and intraperitoneal bleeding is the cause of death in 30%−50%of ***,prompt diagnosis and appropriate treatment are of great clinical importance[4,5].Herein,we present a case of a giant splenic artery pseudoaneurysm within a walled of necrosis involving pancreatic parenchyma,as a complication of long standing chronic pancreatitis.

关键词： pancreatitis aneurysm inflammation

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