Simoneau Eve, Chughtai Talat, Razek Tarek, Deckelbaum Dan L
Department of Surgery, McGill University, Montreal, Quebec, Canada.
BMJ Case Rep. 2014 Dec 17;2014:bcr2014206131. doi: 10.1136/bcr-2014-206131.
Severe acute necrotising pancreatitis is associated with numerous local and systemic complications. Abdominal compartment syndrome requiring urgent decompressive laparotomy is a potential complication of this disease process and is associated with increased morbidity and mortality. We describe the case of a pancreaticoatmospheric fistula following decompressive laparotomy in a patient with severe acute necrotising pancreatitis. While this fistula was managed successfully using the current standard of care for pancreatic fistulas, the wound care for in this patient with drainage of the fistula through an open abdomen, is a significant challenge.
重症急性坏死性胰腺炎会引发众多局部和全身并发症。需要紧急剖腹减压的腹腔间隔室综合征是该疾病进程的一种潜在并发症，与发病率和死亡率增加相关。我们描述了一例重症急性坏死性胰腺炎患者在剖腹减压术后发生胰气瘘的病例。虽然按照目前胰瘘的护理标准成功处理了该瘘管，但对于这名通过开放性腹部引流瘘管的患者，伤口护理是一项重大挑战。
