急性缺血性胰腺炎合并急性B型主动脉夹层：一例报告
Acute ischemic pancreatitis associated with acute type B aortic dissection: a case report.
作者信息
Hamamoto Masaki
机构信息
Department of Cardiovascular Surgery, Onomichi General Hospital, Onomichi, Hiroshima, Japan.
出版信息
Ann Vasc Dis. 2012;5(3):385-8. doi: 10.3400/avd.cr.12.00029.
Abstract
A 47 year-old man, presenting with sudden back pain in the absence of abdominal discomfort, was diagnosed with acute type B aortic dissection which extended to the celiac and the splenic arteries. Antihypertensive treatment was initiated. However, he subsequently complained of upper abdominal pain with increased amylase levels. Computed tomography scan (CT) revealed new accumulation of peripancreatic fluid with no signs of further aortic or visceral dissection. A protease inhibitor was administered for mild acute pancreatitis. Follow-up CT demonstrated disappearance of thrombosed false lumen of the splenic artery and reduction of the effusion. The patient was discharged without any surgical interventions.
摘要
一名47岁男性，在无腹部不适的情况下突发背痛，被诊断为急性B型主动脉夹层，夹层延伸至腹腔干和脾动脉。开始进行降压治疗。然而，他随后出现上腹部疼痛，淀粉酶水平升高。计算机断层扫描（CT）显示胰周液体积聚增加，无进一步主动脉或内脏夹层的迹象。给予蛋白酶抑制剂治疗轻度急性胰腺炎。随访CT显示脾动脉血栓形成的假腔消失，积液减少。患者未经任何手术干预出院。
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