急性胰腺炎胰周感染合并十二指肠内瘘1例报告

王武; 刘欢; 马玉腾; 魏锋

doi:10.3969/j.issn.1001-5256.2018.08.036

急性胰腺炎胰周感染合并十二指肠内瘘1例报告

DOI: 10.3969/j.issn.1001-5256.2018.08.036

吉林大学第一医院肝胆胰外一科

基金项目:

吉林大学白求恩B计划(450060521279)；吉林省科技发展计划项目(20160101053JC)；吉林省卫生计生委科技计划(2014Q026)；

详细信息

中图分类号: R576
计量
- 文章访问数: 1530
- HTML全文浏览量: 7
- PDF下载量: 382
- 被引次数: 0
出版历程
- 出版日期: 2018-08-20

A case of acute pancreatitis with peripancreatic infection complicated by duodenal fistula

First Department of Hepatopancreatobiliary Surgery, The First Hospital of Jilin University

Research funding:

摘要

摘要: <正>1病例资料患者男性,27岁,于2017年4月4日因"腹痛、腹胀7 d"入住本院,10年饮酒史,每天约80 g白酒。2015年因饮酒首次发生急性胰腺炎,经非手术治疗后好转出院。2017年4月再次饮酒诱发急性胰腺炎。入院时上腹持续性钝痛,伴腹胀,恶心。查体:左上腹压痛,伴轻度肌紧张,无反跳痛。CT示:胰腺形态饱满,密度增高,周围脂肪间隙浑浊渗出,并沿双侧结肠
- 胰腺炎 /
- 腹部脓肿 /
- 肠瘘 /
- 病例报告
- pancreatitis /
- abdominal abscess /
- intestinal fistula /
- case reports

HTML全文

参考文献(9)

[1]BANKS PA, BOLLEN TL, DERVENIS C, et al.Classification of acute pancreatitis-2012:Revision of the Atlanta classification and definitions by international consensus[J].Gut, 2013, 62:102-111.

[2]HORTON KM, FISHMAN EK.MDCT of the duodenum:Technique and clinical applications[J].Crit Rev Comput Tomogr, 2004, 45 (5-6) :309-334.

[3]HEETER ZR, HAUPTMANN E, CRANE R, et al.Pancreaticocolonic fistulas secondary to severe acute pancreatitis treated by percutaneous drainage:Successful nonsurgical outcomes in a single-center case series[J].J Vasc Interv Radiol, 2013, 24 (1) :122-129.

[4]REN JA.The prevention and treatment of severe pancreatitis complicated with intestina leakage[J].J Hepatobiliary Surg, 2001, 9 (3) :163-164. (in Chinese) 任建安.重症胰腺炎并发肠外瘘的防治[J].肝胆外科杂志, 2001, 9 (3) :163-164.

[5]YANG F, XU J, LUO XJ, et al.Efficacy of incision and drainage versus percutaneous catheter drainage in treatment of sever acute pancreatitis complicated by pancreatic abscess[J].J Clin Hepatol, 2016, 32 (3) :530-532. (in Chinese) 阳凤, 徐劲, 罗旭娟, 等.切开引流术和经皮穿刺置管引流术治疗重症急性胰腺炎并发胰腺脓肿的疗效分析[J].临床肝胆病杂志, 2016, 32 (3) :530-532.

[6]JING X, TIAN ZB.Early nutrition support therapy for patients with severe acute pancreatitis[J].J Clin Hepatol, 2017, 33 (1) :36-39. (in Chinese) 荆雪, 田字彬.重症急性胰腺炎的早期营养支持治疗[J].临床肝胆病杂志, 2017, 33 (1) :36-39.

[7]ZOU Y, SUN B.Prevention and treatment of postoperative complications after sevever acute pancreatitis[J].Int J Surg, 2016, 43 (4) :282-285. (in Chinese) 邹宇, 孙备.重症急性胰腺炎术后并发症的预防及处理[J].国际外科学杂志, 2016, 43 (4) :282-285.

[8]NISHIYAMA N, MORI H, KOBARA H, et al.Efficacy and safety of over-the-scope clip:Including complications after endoscopic submucosal dissection[J].World J Gastroenterol, 2013, 19 (18) :2752-2760.

[9]LI WM.Severe acute pancreatitis complicated with postoperative duodenal fistula[J].Chin J Gen Surg, 2004, 13 (10) :730-731. (in Chinese) 李卫民.重症急性胰腺炎术后并发十二指肠瘘[J].中国普通外科杂志, 2004, 13 (10) :730-731.

施引文献

资源附件(0)

访问统计