中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

急性胰腺炎伴脾静脉栓塞及脾梗死破裂出血1例报告

谢智钦 唐才喜 陈迅

引用本文:
Citation:

急性胰腺炎伴脾静脉栓塞及脾梗死破裂出血1例报告

DOI: 10.3969/j.issn.1001-5256.2017.12.034
基金项目: 

湖南省科技计划项目经费资助(2016SK4006); 湖南省医药卫生科研计划项目(C2016109); 

详细信息
  • 中图分类号: R576;R657.62

Acute pancreatitis complicated by splenic vein thrombosis and splenic rupture and bleeding following splenic infarction:a case report

Research funding: 

 

  • 摘要: <正>1病例资料患者男性,42岁,因"突发上腹部疼痛3 d"入本院,患者于3 d前进食油腻食物及饮酒后出现上腹部疼痛,疼痛为隐痛,向腰背部放散,伴腹胀、恶心。既往无胆石症病史,17年前因腹部刀刺伤行"胃修补术"。急诊彩超示:左侧膈顶部(脾背侧)液性包块,性质待定,脾局部破裂可能。CT示(图1):脾静脉血栓伴脾梗死可能,脾周积液,不除外脾破裂;急性胰腺炎伴胰周积液。急诊以"急性胰腺炎合并脾破裂"收入本院治疗。

     

  • [1]GANDHI V, PHILIP S, MAYDEO A, et al.Ruptured subcapsular giant haematoma of the spleen——a rare complication of acute pancreatitis[J].Trop Gastroenterol, 2010, 31 (2) :123-124.
    [2]TSENG CW, CHEN CC, CHIANG JH, et al.Percutaneous drainage of large subcapsular hematoma of the spleen complicating acute pancreatitis[J].J Chin Med Assoc, 2008, 71 (2) :92-95.
    [3]HERNANI BL, SILVA PC, NISHIO RT, et al.Acute pancreatitis complicated with splenic rupture:a case report[J].World J Gastrointest Surg, 2015, 27, 7 (9) :219-222.
    [4]KIM HJ, PARK EK, HUR YH, et al.Splenic artery embolization for the treatment of gastric variceal bleeding secondary to splenic vein thrombosis complicated by necrotizing pancreatitis:report of a case[J].Case Rep Med, 2016, 2016:1585926.
    [5]JIANG HC, LU HM, JIANG SM, et al.Experience in diagnosis and treatment of acute pancreatitis with splenic complications[J].Chin J Gen Surg, 2017, 32 (5) :452-453. (in Chinese) 蒋汉城, 卢海明, 蒋水明, 等.急性胰腺炎合并脾脏并发症的诊治体会[J].中华普通外科杂志, 2017, 32 (5) :452-453.
    [6]XU M, WU JM.A case of acute pancreatitis complicated by splenic rupture[J].J Wenzhou Med Univ, 2015, 45 (8) :620-621.徐美, 吴金明.急性胰腺炎并发脾破裂1例[J].温州医科大学学报, 2015, 45 (8) :620-621.
    [7]ASWANI Y, HIRA P.Venous complications of pancreatitis:a review[J].JOP, 2015, 16 (1) :20-24.
    [8]CHEN HZ, SUN B, CHEN H, et al.A case of acute pancreatitis complicated by spontaneous splenic rupture treated by subcapsular splenectomy[J].Chin J Pract Surg, 2016, 36 (1) :126-127. (in Chinese) 陈宏泽, 孙备, 陈华, 等.急性胰腺炎并发自发性脾破裂行被膜下脾切除1例报告[J].中国实用外科杂志, 2016, 36 (1) :126-127.
    [9]S S, OLAKKENGIL S, ROZARIO AP.Occult splenic rupture in a case of chronic calcific pancreatitis with a brief review of literature[J].Int J Surg Case Rep, 2015, 14:95-97.
    [10]ZHU MD, LUO YQ.Research advances in integrated traditional Chinese and Western medicine therapy for severe acute pancreatitis[J].J Clin Hepatol, 2017, 33 (1) :188-193. (in Chinese) 朱美冬, 罗运权.中西医治疗重症急性胰腺炎的研究进展[J].临床肝胆病杂志, 2017, 33 (1) :188-193.
    [11] WANG YX, JIANG QF, LI K, et al.Clinical analysis of 37 patients with pancreatic portal hypertension[J].Chin J Hepatobiliary Surg, 2017, 23 (2) :114-116. (in Chinese) 王要轩, 姜青峰, 李珂, 登.胰源性门静脉高压37例临床分析[J].中华肝胆外科杂志, 2017, 23 (2) :114-116.
  • 加载中
计量
  • 文章访问数:  2188
  • HTML全文浏览量:  13
  • PDF下载量:  397
  • 被引次数: 0
出版历程
  • 出版日期:  2017-12-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回