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剖宫产术后特发性重症急性胰腺炎一例。

A Case of Idiopathic Severe Acute Pancreatitis following Cesarean Section Delivery.

作者信息

Kim Jung, Choi Jin Ho, Shin Bang Sup, Nam Joon Yeul, Kang Eun Ae, Kim Joo Seong, Hwang Jin Hyeok, Kim Jaihwan

机构信息

Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

出版信息

Korean J Gastroenterol. 2016 Sep 25;68(3):161-5. doi: 10.4166/kjg.2016.68.3.161.

Abstract

Acute pancreatitis rarely occurs in the postpartum period. Furthermore, there are very few reports of it after cesarean section delivery. A 35-year-old woman presented with dyspnea and abdominal distension on the third day after cesarean section delivery. Under a suspicion of acute pancreatitis, she was initially managed with conservative treatment. However, she developed intra-abdominal fluid collections and gastric bleeding, which were managed with percutaneous drainage, endoscopic hemostasis, and angiographic embolization. She was discharged with good clinical recovery. Postpartum pancreatitis, especially after cesarean section, is rare; however, its management is not different from that for usual pancreatitis.

摘要

急性胰腺炎在产后时期很少发生。此外,剖宫产术后发生急性胰腺炎的报道非常少。一名35岁女性在剖宫产术后第三天出现呼吸困难和腹胀。怀疑为急性胰腺炎后,她最初接受了保守治疗。然而,她出现了腹腔积液和胃出血,通过经皮引流、内镜止血和血管造影栓塞进行了处理。她出院时临床恢复良好。产后胰腺炎,尤其是剖宫产术后的胰腺炎,很罕见;然而,其治疗与普通胰腺炎并无不同。

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