Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Department of Radiology, Changhua Christian Hospital, Er-Lin Branch, Taiwan.
Kaohsiung J Med Sci. 2009 Jan;25(1):45-8. doi: 10.1016/S1607-551X(09)70040-3.
Pancreatitis complicated by gastric wall hemorrhagic is rarely reported. The imaging findings of focal pancreatitis with gastric wall hemorrhage can mimic a disease entity of gastric origin. We report a case of gastric subserosal hematoma developing in a patient with focal pancreatitis. The patient was initially scheduled to receive subtotal gastrectomy due to a presumed diagnosis of a disease entity of gastric origin. Computed tomography of the abdomen revealed focal pancreatitis that had eroded the gastric wall resulting in subserosal hemorrhage. The radiologist informed the surgeon of the possibility of focal pancreatitis complicated by gastric hemorrhage. The gastric subserosal hematoma was treated with percutaneous drainage and the patient recovered uneventfully.
胰腺炎并发胃壁出血很少见。局灶性胰腺炎伴胃壁出血的影像学表现可模拟源于胃的疾病实体。我们报告了一例局灶性胰腺炎患者发生胃浆膜下血肿的病例。最初，由于考虑到源于胃的疾病实体的诊断，该患者被安排接受胃次全切除术。腹部 CT 显示局灶性胰腺炎侵蚀胃壁导致浆膜下出血。放射科医生告知外科医生局灶性胰腺炎并发胃出血的可能性。胃浆膜下血肿采用经皮引流治疗，患者恢复顺利。
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