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胰十二指肠切除术后七年出现胰腺吻合口破裂。

Pancreatic anastomosis disruption seven years postpancreaticoduodenectomy.

作者信息

Faraj Walid, Abou Zahr Zaki, Mukherji Deborah, Zaghal Ahmad, Khalife Mohamed

机构信息

HPB and Liver Transplant Unit, Department of Surgery, American University of Beirut Medical Center, 961 Beirut, Lebanon.

出版信息

Case Rep Med. 2010;2010. doi: 10.1155/2010/436739. Epub 2010 Aug 16.

Abstract

We are reporting a case of a 22 year-old female patient, who underwent a pancreaticoduodenectomy previously for a solid-pseudopapillary neoplasm of the pancreas and was re-admitted seven years later with a pancreatic leak following disruption of the pancreatico-jejunal anastomosis. Exploratory laparotomy revealed a large collection at the level of the pancreatic anastomosis with major disruption of the pancreatico-jejunal anastomosis. The pancreatic stump was refreshed as well as the jejunal site and a duct to mucosa anastomosis was performed. She remains well with a follow up of 18 months.

摘要

我们报告了一例22岁女性患者的病例,该患者此前因胰腺实性假乳头状瘤接受了胰十二指肠切除术,七年后因胰空肠吻合口破裂导致胰瘘再次入院。剖腹探查发现胰腺吻合口处有大量积液,胰空肠吻合口严重破裂。对胰腺残端和空肠部位进行了修整,并进行了导管对黏膜吻合术。随访18个月,她情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8600/2931402/3b53ac2f6ede/CRM2010-436739.001.jpg

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