Vinod Kolar Vishwanath, Verma Shailendra Prasad, Karthikeyan Balasubramanian, Kishore Ariga, Dutta Tarun Kumar
Department of General Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantrinagar, Puducherry, India.
Indian J Crit Care Med. 2013 Sep;17(5):308-10. doi: 10.4103/0972-5229.120325.
Peripancreatic vascular thrombosis is a known complication of acute pancreatitis (AP) and chronic pancreatitis. However, hemiplegia resulting from cerebral infarction due to cerebral arterial thrombosis is a rare complication of AP. Here, we report a case of alcohol related severe AP with multi-organ dysfunction, which was complicated by large left sided middle cerebral artery territory infarct - leading to right sided hemiplegia in a 48-year-old male patient. The neurological and vascular thrombotic complications of pancreatitis, their pathogenesis and management are discussed in brief.
胰周血管血栓形成是急性胰腺炎(AP)和慢性胰腺炎的已知并发症。然而,脑动脉血栓形成导致脑梗死引起的偏瘫是AP的一种罕见并发症。在此,我们报告一例与酒精相关的重症AP伴多器官功能障碍的病例,该病例并发左侧大脑中动脉大片区域梗死,导致一名48岁男性患者出现右侧偏瘫。本文简要讨论了胰腺炎的神经和血管血栓形成并发症、其发病机制及处理。