Muthukumarasamy G, Shanmugam V, Yule S R, Ravindran R
Department of Surgery, University of Aberdeen and Aberdeen Royal Infirmary, Foresterhill, Aberdeen, Scotland, United Kingdom.
World J Gastroenterol. 2007 Jul 21;13(27):3756-7. doi: 10.3748/wjg.v13.i27.3756.
Acute pancreatitis constitutes 3% of all admissions with abdominal pain. There are reports of osteal fat necrosis leading to periosteal reactions and osteolytic lesions following severe pancreatitis, particularly in long bones. A 54-year-old man was admitted to our hospital with acute pancreatitis, who later developed spinal discitis secondary to necrotizing pancreatitis. He was treated conservatively with antibiotics and after a month he recovered completely without any neurological deficit. This case is reported for its unusual and unreported spinal complications after acute pancreatitis.
急性胰腺炎占所有腹痛住院病例的3%。有报告称,严重胰腺炎后会出现骨脂肪坏死,导致骨膜反应和溶骨性病变,尤其是在长骨中。一名54岁男性因急性胰腺炎入住我院,后来继发坏死性胰腺炎发展为椎间盘炎。他接受了抗生素保守治疗,一个月后完全康复,没有任何神经功能缺损。本文报告该病例是因其急性胰腺炎后出现了罕见且未被报道的脊柱并发症。