急性胰腺炎合并下腔静脉及右心房大面积血栓形成：一例报告

Acute pancreatitis complicated by massive inferior vena cava and right atrial thrombosis: a case report.

作者信息

Lee Kangeui, Ko Jung-In, Park Taejin

机构信息

Department of Emergency Medicine, National Medical Center, Seoul, Korea.

出版信息

Ann Vasc Surg. 2015 Jul;29(5):1020.e7-1020.e10. doi: 10.1016/j.avsg.2015.01.019. Epub 2015 Mar 9.

DOI:10.1016/j.avsg.2015.01.019

PMID:25765632

Abstract

Venous thrombosis is a relatively common complication of acute pancreatitis. A 58-year-old man came to our emergency department with abdominal pain. Pancreatitis complicated with a huge thrombosis through inferior vena cava (IVC) to right atrium and left renal vein was diagnosed. Gabexate and enoxaparin were administered for pancreatitis and thrombosis. Surgical removal of thrombosis was considered but was not possible because of poor general condition. Despite conservative management, the patient expired. We believe this is the first case of pancreatitis complicated by right atrial thrombosis.

摘要

静脉血栓形成是急性胰腺炎相对常见的并发症。一名58岁男性因腹痛前来我院急诊科就诊。诊断为胰腺炎合并巨大血栓形成，血栓经下腔静脉延伸至右心房及左肾静脉。给予加贝酯和依诺肝素治疗胰腺炎及血栓形成。考虑手术清除血栓，但因患者全身状况较差而无法进行。尽管采取了保守治疗，患者仍死亡。我们认为这是首例并发右心房血栓形成的胰腺炎病例。