急性胰腺炎合并纵隔坏死——病例报告

Mediastinal necrosis in acute pancreatitis - case report.

作者信息

Stimac D, Niksić M, Sincić Mijandrusić B, Depolo A, Uravić M, Grbas H, Perić R, Miletić D, Bulat Kardum L

机构信息

Department of Internal Medicine, Division of Gastroenterology, Clinical Hospital Center, Rijeka, Croatia.

出版信息

Zentralbl Chir. 2007 Apr;132(2):155-7. doi: 10.1055/s-2007-960660.

DOI:10.1055/s-2007-960660

PMID:17516324

Abstract

Ascites, pseudocyst, necrosis of the retroperitoneal fat tissue and pancreatopleural fistula with left sided pleural effusion may complicate pancreatitis. However, steatonecrosis of the mediastinum and right side pleural effusion are rather rare complications of pancreatitis. We present a case of a patient with alcohol induced pancreatitis. Chest x-ray showed right sided pleural effusion. Although high levels of amylase in pleural fluid made the diagnosis of pancreatopleural fistula most likely, necrosis of the mediastinal fat tissue with right side pleural effusion was found postmortem.

摘要

腹水、假性囊肿、腹膜后脂肪组织坏死以及伴有左侧胸腔积液的胰胸膜瘘可能是胰腺炎的并发症。然而，纵隔脂肪坏死和右侧胸腔积液是较为罕见的胰腺炎并发症。我们报告一例酒精性胰腺炎患者。胸部X线显示右侧胸腔积液。尽管胸液中淀粉酶水平升高使胰胸膜瘘的诊断极有可能，但尸检发现纵隔脂肪组织坏死并伴有右侧胸腔积液。