Lee Ser Yee, Ng Kheng Hong, Sebastian Mathew George
Department of General Surgery, Singapore General Hospital, Singapore, Republic of Singapore.
Case Rep Gastroenterol. 2011 Jan;5(1):17-21. doi: 10.1159/000323734. Epub 2011 Jan 7.
Acute pancreatitis is a single-organ disorder that has multi-organ sequelae. As a result, it can have varied presentations. Acute pancreatitis presenting as acute limb ischemia is rare. We present a patient with acute pancreatitis presenting with bilateral lower limb ischemia. The episode of acute pancreatitis resolved but the acute lower limb ischemia precipitated as the pancreatitis progressed, and necessitated bilateral above-knee amputations. We review the literature and discuss the pathogenesis of such a phenomenon.
急性胰腺炎是一种具有多器官后遗症的单器官疾病。因此,它可以有多种表现形式。以急性肢体缺血为表现的急性胰腺炎很少见。我们报告一例表现为双侧下肢缺血的急性胰腺炎患者。急性胰腺炎发作得到缓解,但随着胰腺炎的进展,急性下肢缺血出现,需要进行双侧膝上截肢。我们回顾了文献并讨论了这种现象的发病机制。