成功治疗伴有大量血胸的胰腺假性囊肿：一例报告
Successful treatment of a pancreatic pseudocyst accompanied by massive hemothorax: a case report.
作者信息
Li Chiao-Ching, Hsu Chin-Wen, Li Chiao-Zhu, Kuo Shyh-Ming, Wu Yu-Chiuan
机构信息
Division of General Surgery, Department of Surgery, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
出版信息
J Med Case Rep. 2015 Dec 29;9:295. doi: 10.1186/s13256-015-0791-5.
BACKGROUND
It is rare to encounter massive hemothorax as a complication of pancreatic pseudocyst. In addition, as no obvious hypotension and abdominal discomfort were noted, it was difficult to consider gastrointestinal lesion a possibility.
CASE PRESENTATION
A 54-year-old Taiwanese man had tightness on the left side of his chest and shortness of breath for 3 days. He had a history of acute pancreatitis 3 months ago. After history taking and a series of examinations including thoracocentesis and computed tomography of his abdomen and chest, the diagnosis was finally confirmed based on the high amylase levels in his pleural fluid.
CONCLUSIONS
Treatment with distal pancreatectomy and splenectomy was subsequently successfully performed. Based on our experience, we briefly discuss the currently available treatment options for pancreatic pseudocyst.
背景
胰腺假性囊肿并发大量血胸的情况较为罕见。此外，由于未发现明显的低血压和腹部不适，很难考虑存在胃肠道病变的可能性。
病例介绍
一名54岁的台湾男性出现左侧胸部紧绷感和呼吸急促3天。他3个月前有急性胰腺炎病史。经过病史采集以及包括胸腔穿刺术和腹部及胸部计算机断层扫描在内的一系列检查，最终根据胸腔积液中高淀粉酶水平确诊。
结论
随后成功进行了胰体尾切除术和脾切除术。根据我们的经验，我们简要讨论了目前胰腺假性囊肿可用的治疗选择。
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