Ko H S, Anders M, Diehl S, Dominguez E, Löhr M, Düber C
Department of Clinical Radiology, Mannheim University Hospital, University of Heidelberg, Theodor Kutzer Ufer 1-3, 68167 Mannheim, Germany.
Abdom Imaging. 2003 Sep-Oct;28(5):700-2. doi: 10.1007/s00261-003-0014-1.
The case of a 35-year-old male with portal vein erosion and acute life-threatening abdominal hemorrhage as a complication of acute pancreatitis is reported. Erosion of arterial walls is the most common complication of pancreatitis and pancreatic pseudocysts, and erosion of the portal vein leading to a fistula between the pancreas and the portal vein is very rare. Diagnosis was made by multislice spiral computed tomography, and nonsurgical treatment was elected, leading to complete recoverage.
报告了一例35岁男性，因急性胰腺炎并发门静脉侵蚀和危及生命的急性腹腔出血。动脉壁侵蚀是胰腺炎和胰腺假性囊肿最常见的并发症，而门静脉侵蚀导致胰腺与门静脉之间形成瘘管则非常罕见。通过多层螺旋计算机断层扫描进行诊断，并选择非手术治疗，最终实现完全康复。
