Parikh Hardik, Shukla Akash, Aswani Yashant, Bhatia Shobna
Department of Gastroenterology, Seth G S Medical College, Mumbai, India.
JOP. 2012 May 10;13(3):317-9.
Venous thrombosis has been described in patients with acute and chronic pancreatitis. This is especially common in portal vein, splenic vein and superior mesenteric vein. To the best of our knowledge, involvement of superior vena cava and subclavian vessel due to pancreatitis has not been reported.
We present here a case of an adult male with alcoholic chronic pancreatitis who presented with multiple vessel thromboses involving superior vena cava, inferior vena cava, bilateral subclavian, internal jugular vein, axillary, iliac and renal vein without involvement of portal, splenic and superior mesenteric vein that was effectively treated with i.v. anticoagulation therapy.
Venous thromboses can occur outside the splanchnic circulation in pancreatitis.
急性和慢性胰腺炎患者中曾有静脉血栓形成的描述。这在门静脉、脾静脉和肠系膜上静脉中尤为常见。据我们所知,胰腺炎导致上腔静脉和锁骨下血管受累的情况尚未见报道。
我们在此报告一例成年男性酒精性慢性胰腺炎患者,该患者出现多血管血栓形成,累及上腔静脉、下腔静脉、双侧锁骨下静脉、颈内静脉、腋静脉、髂静脉和肾静脉,而门静脉、脾静脉和肠系膜上静脉未受累,经静脉抗凝治疗后病情得到有效控制。
胰腺炎患者的静脉血栓形成可发生在内脏循环之外。