Obatake Masayuki, Yamane Yusuke, Tokunaga Takayuki, Taura Yasuaki, Inamura Yukio, Nagayasu Takeshi
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852 8501, Japan.
Int J Pediatr. 2009;2009:950687. doi: 10.1155/2009/950687. Epub 2009 Mar 11.
A case of traumatic pancreatitis with subsequent joint pain and osteolytic lesions is presented. A 10-year-old girl was admitted to our hospital with abdominal pain caused by blunt epigastric injury. She was diagnosed with traumatic pancreatitis, and multiple pancreatic pseudocysts subsequently developed. Two weeks after admission, she complained of joint pain, and MR revealed osteolytic lesions of both knee joints. On the 58th day, endoscopic transgastric pseudocyst drainage was performed. Joint pain and osteolytic lesions resolved rapidly, in parallel with the decrease in serum amylase level and pseudocyst size.
本文报告一例创伤性胰腺炎继发关节疼痛和溶骨性病变的病例。一名10岁女孩因上腹部钝性损伤导致腹痛入住我院。她被诊断为创伤性胰腺炎,随后出现多个胰腺假性囊肿。入院两周后,她诉说关节疼痛,磁共振成像(MR)显示双膝关节溶骨性病变。在第58天,进行了内镜经胃假性囊肿引流术。随着血清淀粉酶水平和假性囊肿大小的降低,关节疼痛和溶骨性病变迅速缓解。