内镜下成功减压治疗急性胰腺炎并发胃出口梗阻的壁内十二指肠血肿
Successful endoscopic decompression for intramural duodenal hematoma with gastric outlet obstruction complicating acute pancreatitis.
作者信息
Lee Jun Young, Chung Jin Soo, Kim Tae Hyeon
机构信息
Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
出版信息
Clin Endosc. 2012 Sep;45(3):202-4. doi: 10.5946/ce.2012.45.3.202. Epub 2012 Aug 22.
Abstract
Non-traumatic intramural duodenal hematoma (IDH) with duodenal obstruction caused by acute pancreatitis is rare. Most patients with non-extensive hematoma show improvement with non-operative treatments. Percutaneous drainage or surgery may be necessary in cases with suspected malignancy, perforation, or intestinal tract obstruction. We present a case of IDH caused by acute pancreatitis that led to obstruction of the duodenum and an experience of successful endoscopic decompression of the hematoma.
摘要
急性胰腺炎所致非创伤性十二指肠壁内血肿（IDH）伴十二指肠梗阻较为罕见。大多数非广泛性血肿患者经非手术治疗后病情改善。对于疑似恶性肿瘤、穿孔或肠道梗阻的病例，可能需要进行经皮引流或手术。我们报告一例由急性胰腺炎引起的IDH导致十二指肠梗阻的病例，以及成功进行内镜下血肿减压的经验。
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