Poster électronique

Dystrophie kystique sur pancréas aberrant : valeur diagnostique du scanner, étude de la papille mineure
M. Wagner, MP. Vullierme, V. Rebours, P. Ruszniewski, V. Vilgrain - Clichy - France
Congrès 2011
Poster
3,8
4 votes.
Vu 926 fois.
Résumé
Objectifs
Etudier la fréquence des anomalies tomodensitométriques de la dystrophie kystique sur pancréas aberrant (DKPA) et l'association à des anomalies de la papille mineure, comme suggérée par Klöppel (2007).
Matériels et méthodes
Inclusion rétrospective de 82 patients avec un diagnostic écho-endoscopique de DKPA. Recueil de la taille et la localisation des kystes, de l'épaisseur de la paroi duodénale, des anomalies pancréatiques, dont le diamètre du canal de Santorini et la présence de calcifications dans les papilles mineure et majeure.
Résultats
Le diagnostic de DKPA était retenu sur le scanner dans 95%. Les kystes étaient multiples dans 90%, dans le second duodénum dans 92% et mesuraient entre 2 et 60 mm. L'épaisseur moyenne de la paroi duodénale était de 22,6 mm. Le pancréas était anormal dans 74,5%. La dilatation du canal de Santorini et/ou la présence de calcifications dans la papille mineure étaient retrouvées dans 37,5%. Trois patients (4%) présentaient des calcifications dans la papille mineure sans calcifications dans la papille majeure (présentes dans 40%). Ils souffraient d'une intoxication alcoolique comme 93% des patients.
Conclusion
Notre étude montre que des anomalies de la papille mineure sont rarement associées avec la DKPA (absence dans 62,5%) et confirme sur un large effectif les critères diagnostiques précédemment décrits.
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Michael Law

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2017-04-12 01.19 :
Scott Jones

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2017-04-11 11.21 :
Scott Jones

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