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一名38岁产后女性因甲状旁腺腺瘤引发严重急性坏死性胰腺炎的病例。

A case of severe acute necrotizing pancreatitis in a 38-year-old woman postpartum due to a parathyroid adenoma.

作者信息

Rupprecht Holger, Reinfelder Julia, Turkoglu Alp

机构信息

Department of Visceral, Thoracic, and Vascular Surgery, Surgical Clinic Fürth, Germany.

出版信息

GMS Interdiscip Plast Reconstr Surg DGPW. 2017 Aug 21;6:Doc13. doi: 10.3205/iprs000115. eCollection 2017.

DOI:10.3205/iprs000115
PMID:28868227
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5566115/
Abstract

Lethal necrotizing pancreatitis postpartum due to primary hyperparathyroidism caused by a parathyroid adenoma can be considered as a rarity. Due to the unspecific clinical signs and uncommonness this disorder may be overseen very easily. The reported case illustrates the very importance of early diagnosis of this endocrine disorder in pregnancy in order to avoid a lethal course.

摘要

甲状旁腺腺瘤引起的原发性甲状旁腺功能亢进导致的产后致死性坏死性胰腺炎可被视为一种罕见病。由于临床症状不具特异性且该病不常见，这种疾病很容易被忽视。所报道的病例说明了孕期早期诊断这种内分泌疾病对于避免致命病程的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/114f/5566115/90024930eefa/IPRS-06-13-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/114f/5566115/e26ff94f343a/IPRS-06-13-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/114f/5566115/48beac07876e/IPRS-06-13-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/114f/5566115/90024930eefa/IPRS-06-13-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/114f/5566115/e26ff94f343a/IPRS-06-13-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/114f/5566115/48beac07876e/IPRS-06-13-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/114f/5566115/90024930eefa/IPRS-06-13-g-002.jpg

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本文引用的文献

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Primary hyperparathyroidism in pregnancy.妊娠合并甲状旁腺功能亢进症。
Endocrine. 2013 Dec;44(3):591-7. doi: 10.1007/s12020-013-9980-4. Epub 2013 May 14.
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Acute necrotizing pancreatitis as first manifestation of primary hyperparathyroidism.以急性坏死性胰腺炎为首发表现的原发性甲状旁腺功能亢进症
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Ectopic mediastinal parathyroid adenoma: a cause of acute pancreatitis.异位纵隔甲状旁腺腺瘤：急性胰腺炎的一个病因
Endocrine. 2009 Oct;36(2):194-7. doi: 10.1007/s12020-009-9223-x. Epub 2009 Jul 14.
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Pancreatitis in pregnancy.妊娠期胰腺炎
Obstet Gynecol. 2008 Nov;112(5):1075-81. doi: 10.1097/AOG.0b013e318185a032.
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Primary hyperparathyroidism in pregnancy: evidence-based management.妊娠期原发性甲状旁腺功能亢进症：循证管理
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Parathyroid disorders of pregnancy.妊娠甲状旁腺疾病
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