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慢性胰腺炎后脾血肿的罕见病例——诊断与治疗过程

A rare case of splenic hematoma following chronic pancreatitis--the diagnostic and therapeutic procedures.

作者信息

Agnifili A, Gianfelice F, Gola P, Ibi I, Onorato A, De Bernardinis G

机构信息

Department of Surgery, University of L'Aquila, Italy.

出版信息

Jpn J Surg. 1991 Sep;21(5):576-9. doi: 10.1007/BF02470998.

Abstract

We describe herein a clinical case in which a subcapsular splenic hematoma complicated chronic relapsing pancreatitis. A pathogenetic mechanism is postulated that explains the subacute insorgence of the liquid collection with the diffusion of proteolytic enzymes between the splenic capsule and parenchyma. Radical therapy, consisting of exeresis of the cystic formation, splenectomy and caudal pancreatectomy, is recommended for this extremely rare complication.

摘要

我们在此描述一例临床病例,其中脾包膜下血肿并发慢性复发性胰腺炎。推测了一种发病机制,解释了液体聚集的亚急性发生以及蛋白水解酶在脾包膜和实质之间的扩散。对于这种极为罕见的并发症,建议采用根治性治疗,包括切除囊性结构、脾切除术和胰尾切除术。

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