• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

内镜逆行胰胆管造影术后胰腺炎伴罕见致命并发症：一例报告

Pancreatitis with an unusual fatal complication following endoscopic retrograde cholangiopancreaticography: a case report.

作者信息

Kanen Boris, Loffeld Ruud J L F

机构信息

Department of Internal Medicine, Zaans Medisch Centrum, Zaandam, The Netherlands.

出版信息

J Med Case Rep. 2008 Jun 24;2:215. doi: 10.1186/1752-1947-2-215.

DOI:10.1186/1752-1947-2-215
PMID:18577211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2443156/
Abstract

INTRODUCTION

Endoscopic retrograde cholangiopancreaticography has been the treatment of choice for stones in the common bile duct. Although the procedure is usually safe, procedure-related complications do occur.

CASE PRESENTATION

A case of pancreatitis following endoscopic retrograde cholangiopancreaticography is described in a 55-year-old woman. After an uneventful recovery the patient's condition deteriorated rapidly 16 days after the endoscopic retrograde cholangiopancreaticography, and the patient died within 1 hour. Post-mortem examination revealed massive intrapulmonary fat embolism. The complications of endoscopic retrograde cholangiopancreaticography and pancreatitis are described.

CONCLUSION

Fat embolism can occur after the remission of pancreatitis and pancreatic necrosis may be overlooked on contrast-enhanced computed tomography scanning.

摘要

引言

内镜逆行胰胆管造影术一直是胆总管结石的首选治疗方法。尽管该手术通常是安全的，但与手术相关的并发症确实会发生。

病例报告

描述了一名55岁女性在内镜逆行胰胆管造影术后发生胰腺炎的病例。在内镜逆行胰胆管造影术后，患者恢复顺利，但16天后病情迅速恶化，在1小时内死亡。尸检显示大量肺内脂肪栓塞。文中描述了内镜逆行胰胆管造影术及胰腺炎的并发症。

结论

胰腺炎缓解后可能发生脂肪栓塞，而在增强计算机断层扫描中可能会忽略胰腺坏死。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a912/2443156/9cca0c8b1061/1752-1947-2-215-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a912/2443156/22a14c2a016c/1752-1947-2-215-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a912/2443156/9cca0c8b1061/1752-1947-2-215-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a912/2443156/22a14c2a016c/1752-1947-2-215-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a912/2443156/9cca0c8b1061/1752-1947-2-215-2.jpg

相似文献

1
Pancreatitis with an unusual fatal complication following endoscopic retrograde cholangiopancreaticography: a case report.内镜逆行胰胆管造影术后胰腺炎伴罕见致命并发症：一例报告
J Med Case Rep. 2008 Jun 24;2:215. doi: 10.1186/1752-1947-2-215.
2
[Deep duodenoscopy and endoscopic retrograde cholangiopancreaticography].[深度十二指肠镜检查和内镜逆行胰胆管造影术]
Z Gesamte Inn Med. 1976 Nov 1;31(21):888-93.
3
Post-endoscopic retrograde cholangiopancreaticography complications in liver transplanted patients, a single-center experience.肝移植患者内镜逆行胰胆管造影术后并发症：单中心经验
Scand J Surg. 2015 Jun;104(2):86-91. doi: 10.1177/1457496914529274. Epub 2014 Apr 15.
4
Outcomes of Endoscopic Sphincteroplasty Using Large Balloon Dilatation for Difficult Common Bile Duct Stone Removal at Dhulikhel Hospital.在杜利凯尔医院使用大球囊扩张术进行内镜括约肌切开术治疗困难性胆总管结石的疗效
Kathmandu Univ Med J (KUMJ). 2019;17(65):9-13.
5
Use of laparoscopic common bile duct exploration for failed endoscopic bile duct stone extractions.腹腔镜胆总管探查术用于内镜下胆管结石取出失败的情况。
Minerva Chir. 2014 Aug;69(4):209-15.
6
An unusual case of autoimmune pancreatitis presenting as pancreatic mass and obstructive jaundice: a case report and review of the literature.一例表现为胰腺肿块和梗阻性黄疸的自身免疫性胰腺炎罕见病例：病例报告及文献复习
J Med Case Rep. 2011 Jun 29;5:253. doi: 10.1186/1752-1947-5-253.
7
Salvage Surgery in Endoscopic Era.内镜时代的挽救性手术
Oman Med J. 2011 Nov;26(6):e028. doi: 10.5001/omj.2011.121.
8
[The value of endoscopic retrograde cholangiopancreaticography in the diagnosis of bile duct and pancreatic diseases. Results of 756 studies].
Dtsch Z Verdau Stoffwechselkr. 1979;39(6):278-84.
9
Fatal systemic venous air embolism during endoscopic retrograde cholangiopancreatography.内镜逆行胰胆管造影术中发生致命性系统性静脉空气栓塞
Adv Anat Pathol. 2009 Jul;16(4):255-62. doi: 10.1097/PAP.0b013e3181aab793.
10
Intraoperative endoscopic retrograde cholangiopancreatography (ERCP) to remove common bile duct stones during routine laparoscopic cholecystectomy does not prolong hospitalization: a 2-year experience.在常规腹腔镜胆囊切除术中使用术中内镜逆行胰胆管造影术（ERCP）清除胆总管结石不会延长住院时间：一项为期2年的经验。
Surg Endosc. 2004 Mar;18(3):367-71. doi: 10.1007/s00464-003-9021-0. Epub 2004 Feb 2.

本文引用的文献

1
Cerebral fat embolism as a rare possible complication of traumatic pancreatitis.脑脂肪栓塞是创伤性胰腺炎一种罕见的可能并发症。
JOP. 2003 Jul;4(4):155-7.
2
Why the incidence of post-ERCP pancreatitis varies considerably? Factors affecting the diagnosis and the incidence of this complication.为什么内镜逆行胰胆管造影术后胰腺炎的发病率差异如此之大？影响该并发症诊断及发病率的因素。
JOP. 2002 Nov;3(6):195-201.
3
ERCP-related perforations: risk factors and management.内镜逆行胰胆管造影（ERCP）相关穿孔：危险因素与处理
Endoscopy. 2002 Apr;34(4):293-8. doi: 10.1055/s-2002-23650.
4
Endoscopic treatment of choledocholithiasis in the era of laparoscopic cholecystectomy: prospective analysis of 386 patients.腹腔镜胆囊切除术时代胆总管结石的内镜治疗：386例患者的前瞻性分析
Hepatogastroenterology. 2001 Sep-Oct;48(41):1271-4.
5
Predictors of post-ERCP complications in patients with suspected choledocholithiasis.疑似胆总管结石患者内镜逆行胰胆管造影术后并发症的预测因素
Endoscopy. 1998 Jun;30(5):457-63. doi: 10.1055/s-2007-1001308.
6
Post-ERCP pancreatitis and hyperamylasaemia: the role of operative and patient factors.
Eur J Gastroenterol Hepatol. 1998 May;10(5):423-8. doi: 10.1097/00042737-199805000-00012.
7
Benefits and risks of needle-knife papillotomy.针刀乳头切开术的益处与风险
Gastrointest Endosc. 1997 Sep;46(3):207-11. doi: 10.1016/s0016-5107(97)70087-7.
8
[Fat embolism of retinal arteries following acute pancreatitis].[急性胰腺炎后视网膜动脉脂肪栓塞]
Klin Monbl Augenheilkd. 1984 Jul;185(1):50-2. doi: 10.1055/s-2008-1054569.
9
[Loss of vision as a complication of acute pancreatitis].[视力丧失作为急性胰腺炎的一种并发症]
Schweiz Med Wochenschr. 1988 May 14;118(19):722-5.
10
Pathogenesis of non-traumatic fat embolism.非创伤性脂肪栓塞的发病机制。
Lancet. 1988 Jun 18;1(8599):1366-7. doi: 10.1016/s0140-6736(88)92182-4.