胰腺原发性气性坏疽：一例报告

Primary gas gangrene of the pancreas: report of a case.

作者信息

Ikegami Toru, Kido Akinori, Shimokawa Hidehiko, Ishida Teruyoshi

机构信息

Department of Surgery, Hiroshima Red Cross and Atomic Bomb Survivors Hospital, Hiroshima 730-8619, Japan.

出版信息

Surg Today. 2004;34(1):80-1. doi: 10.1007/s00595-003-2635-y.

DOI:10.1007/s00595-003-2635-y

PMID:14714236

Abstract

Spontaneous gas gangrene of the pancreas, caused by an infection of Clostridium perfringens, is an extremely rare but severe form of acute pancreatitis. A 67-year-old man complaining of severe epigastric pain with diffuse guarding underwent an emergency laparotomy. During surgery, hemorrhagic pancreatic necrosis was observed with a large amount of peripancreatic gas. Cultures demonstrated C. perfringens. The identification of hemolysis and the accumulation of peripancreatic gas on computed tomography, which were both caused by an infection of C. perfringens, led us to make a diagnosis of clostridial infection of the pancreas.

摘要

由产气荚膜梭菌感染引起的胰腺自发性气性坏疽是一种极其罕见但严重的急性胰腺炎形式。一名67岁男性因严重上腹部疼痛伴弥漫性压痛而接受了急诊剖腹手术。手术中观察到出血性胰腺坏死，伴有大量胰腺周围气体。培养结果显示为产气荚膜梭菌。计算机断层扫描上溶血的表现以及胰腺周围气体的积聚，均由产气荚膜梭菌感染所致，这使我们做出了胰腺梭菌感染的诊断。