医源性乳糜胸行胸导管结扎术后发生急性胰腺炎。病例报告。
Acute pancreatitis after thoracic duct ligation for iatrogenic chylothorax. A case report.
作者信息
Bédat Benoît, Scarpa Cosimo Riccardo, Sadowski Samira Mercedes, Triponez Frédéric, Karenovics Wolfram
机构信息
Thoracic and Endocrine Surgery, University Hospitals of Geneva, 1211, Geneva, Switzerland.
出版信息
BMC Surg. 2017 Jan 23;17(1):9. doi: 10.1186/s12893-017-0204-3.
BACKGROUND
To report the association between thoracic duct ligation and acute pancreatitis. The association between sudden stop of lymphatic flow and pancreatitis has been established in experimental models.
CASE PRESENTATION
A 57-year-old woman operated for thymoma presented a iatrogenic chylothorax. After thoracic duct ligation, she presented an acute pancreatitis which resolved after conservative treatment. The chylothorax disappeared within 4 days of thoracic duct ligation.
CONCLUSIONS
This is the first report of acute pancreatitis following thoracic duct ligation. The pancreas and digestive tract should be assessed in symptomatic patients after thoracic duct ligation.
背景
报告胸导管结扎与急性胰腺炎之间的关联。在实验模型中已证实淋巴液流动突然停止与胰腺炎之间存在关联。
病例报告
一名因胸腺瘤接受手术的57岁女性出现医源性乳糜胸。胸导管结扎后，她出现急性胰腺炎，经保守治疗后痊愈。乳糜胸在胸导管结扎后4天内消失。
结论
这是关于胸导管结扎后发生急性胰腺炎的首例报告。胸导管结扎后有症状的患者应评估胰腺和消化道情况。
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