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目的评价X线钡餐造影诊断胃和十二指肠异位胰腺的价值。方法对5例胃镜或病理证实的异位胰腺X线钡餐造影表现进行回顾性分析。结果异位胰腺位于胃3例(胃和十二指肠2例,胃体1例),胃幽门前区十二指肠球部2例。钡餐检查3例表现为肿块型,“脐样征”阳性,肿块呈圆形或卵圆形,边界清楚,表面有脐样钡斑;2例表现为“导管征”阳性。肿物大小约1.5~3.5 cm。结论“脐样征”和“导管征”是异位胰腺特征性X线表现,正确认识有助于确诊。
Objective To evaluate the value of X-ray barium meal in the diagnosis of gastric and duodenal ectopic pancreas. Methods Retrospective analysis of 5 cases of gastropic or pathologically confirmed ectopic pancreas X-ray barium meal were retrospectively analyzed. Results The ectopic pancreas was located in 3 cases (2 cases of stomach and duodenum, 1 case of gastric body) and 2 cases of duodenal bulb in the anterior portal area of stomach. Barium meal examination of 3 cases showed mass type, “umbilical sign ” positive mass was round or oval, clear boundary, the surface of umbilical barium; 2 cases showed “catheter sign ” positive. The size of the tumor is about 1.5 ~ 3.5 cm. Conclusion “Umbilical sign” and “Catheter sign” are the characteristic X-ray manifestations of ectopic pancreas. Correct understanding helps to confirm the diagnosis.