Brown Anthony, Malden Eric, Kugelmas Marcelo, Kortz Eric
Department of Radiology, University of Colorado hospital, Denver, USA.
Department of Radiology, Swedish hospital, Denver, USA.
J Radiol Case Rep. 2014 Mar 1;8(3):31-8. doi: 10.3941/jrcr.v8i3.1552. eCollection 2014 Mar.
Pseudocysts containing activated enzymes are a common complication of pancreatitis. Pseudocysts can rupture into adjacent structures including the peritoneal cavity, adjacent organs, and rarely vascular structures. While arterial pseudoaneurysms and venous thrombosis or occlusion are well known complications of acute and chronic pancreatitis, only 17 cases of pancreas-portal venous fistula have been encountered in review of the literature. A patient with chronic pancreatitis presented with a history of weight loss, fatigue and was found to have a pancreatic duct-portal vein fistula. The patient was treated surgically with good outcome.
含有活化酶的假性囊肿是胰腺炎常见的并发症。假性囊肿可破裂进入相邻结构,包括腹腔、相邻器官,很少累及血管结构。虽然动脉假性动脉瘤和静脉血栓形成或闭塞是急性和慢性胰腺炎的众所周知的并发症,但在文献回顾中仅发现17例胰腺-门静脉瘘。一名患有慢性胰腺炎的患者,有体重减轻、疲劳病史,被发现患有胰管-门静脉瘘。该患者接受了手术治疗,效果良好。