Casas Jorge, Suarez Gissela, Jiménez Sofía, Verona Rogger
Departamento de Medicina Interna, Hospital Nacional Arzobispo Loayza, Lima, Perú.
Rev Gastroenterol Peru. 2010 Jul-Sep;30(3):216-9.
Pancreatitis caused by foreign bodies is exceptionally rare. It has been described: needles, surgical clips, sutures, belt buckles, toothpicks, spines of fish, chicken feathers and bezoars. This is the first case reported in world literature caused by a match ("cerillo"). A 73-year-old women, admitted with the diagnostic of severe necrotizing pancreatitis, APACHE score 12, during 36 hours following the admission she developed refractory hypotension, acute renal failure and finally died. The necropsy showed: extensive necrosis that compromise the whole pancreas and a match impacted in the duct of Wirsung. Microscopic evaluation revealed coagulative parenchymal necrosis, micro abscesses and a dense accumulation of acute inflammatory cells surrounding the match.
异物引起的胰腺炎极为罕见。曾有过相关描述的异物有：针、手术夹、缝线、皮带扣、牙签、鱼刺、鸡毛和胃石。这是世界文献中首例由火柴（“cerillo”）引起的病例。一名73岁女性因诊断为严重坏死性胰腺炎入院，急性生理与慢性健康状况评分系统（APACHE）评分为12分，入院后36小时内出现难治性低血压、急性肾衰竭，最终死亡。尸检显示：广泛坏死累及整个胰腺，一根火柴嵌顿在主胰管中。显微镜检查发现实质凝固性坏死、微脓肿以及火柴周围密集的急性炎症细胞聚集。
