Kopsa H, Schmidt P, Zazgornik J, Balcke P, Pall H, Kleinberger G, Pichler M
Med Klin. 1978 Mar 17;73(11):401-4.
A renal transplant patient in whom acute pancreatitis developed 2 1/2 years after surgery is presented. Pancreatisis was accompanied by hyperlipaemia, diabetes mellitus and acute renal failure possibly due to acute tubular necrosis. Pancreatic abscesses necessitated subtotal pancreatectomy 2 months later. Because of generalized tuberculosis finally the patient succumbed 6 weeks thereafter. As aetiological factors cytomegalovirus disease, disorders in lipid metabolism and immunosuppressive therapy must be discussed. It is concluded that prophylactic measures as well as early diagnosis, intensive care and therapy are necessary for reducing the high risks of pancreatis in renal transplant recipients.
本文介绍了一名肾移植患者，该患者在术后2年半出现急性胰腺炎。胰腺炎伴有高脂血症、糖尿病和可能由急性肾小管坏死导致的急性肾衰竭。2个月后，胰腺脓肿需要进行胰腺次全切除术。由于全身性结核病，患者最终在6周后死亡。作为病因学因素，必须讨论巨细胞病毒病、脂质代谢紊乱和免疫抑制治疗。结论是，采取预防措施以及早期诊断、重症监护和治疗对于降低肾移植受者胰腺炎的高风险是必要的。
