采用胰体尾切除术治疗合并胰石症及囊内出血的胰腺假性囊肿：病例报告
Pancreatic pseudocyst with pancreatolithiasis and intracystic hemorrhage treated with distal pancreatectomy: a case report.
作者信息
Maeda Masato, Nomura Ryota, Moriki Toshiaki, Miyashita Tadashi
机构信息
Department of Surgery, Shizuoka City Shizuoka Hospital, 10-93 Ohtemachi Aoi-ku, Shizuoka 420-8630, Japan.
出版信息
Cases J. 2009 Aug 24;2:8693. doi: 10.4076/1757-1626-2-8693.
INTRODUCTION
Hemorrhage from pancreatic pseudocyst is one of the serious complications of chronic pancreatitis. We experienced intracystic hemorrhage from a huge pancreatic pseudocyst and successfully treated it with distal pancreatectomy.
CASE PRESENTATION
A 65-year-old-man with a history of alcohol abuse was admitted to our hospital for abdominal pain and was diagnosed as having chronic pancreatitis with pancreatolithiasis and pseudocyst in the pancreatic tail. The pancreatic pseudocyst increased in size gradually for 4 month observation period. For intracystic hemorrhage we performed an urgent distal pancreatectomy with splenectomy. Postoperative course was good and the elevated serum amylase level decreased to the normal range.
CONCLUSION
Prolonged observation resulted in intracystic hemorrhage. Drainage or surgery in adequate time is important for the management of pancreatic pseudocysts to prevent complications.
引言
胰腺假性囊肿出血是慢性胰腺炎的严重并发症之一。我们遇到了一例巨大胰腺假性囊肿囊内出血的病例，并通过胰体尾切除术成功治愈。
病例介绍
一名有酗酒史的65岁男性因腹痛入院，被诊断为慢性胰腺炎伴胰管结石及胰尾假性囊肿。在4个月的观察期内，胰腺假性囊肿逐渐增大。因囊内出血，我们紧急实施了胰体尾切除术并切除脾脏。术后恢复良好，血清淀粉酶水平升高降至正常范围。
结论
长期观察导致囊内出血。适时进行引流或手术对于胰腺假性囊肿的治疗以预防并发症很重要。
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