Kumar Prem, Gupta Pankaj, Rana Surinder
Department of Radiodiagnosis and Imaging Postgraduate Institute of Medical Education and Research Chandigarh India.
Department of Gastroenterology Postgraduate Institute of Medical Education and Research Chandigarh India.
JGH Open. 2018 Oct 22;3(1):71-79. doi: 10.1002/jgh3.12099. eCollection 2019 Feb.
Acute pancreatitis in its severe form may lead to systemic inflammatory response syndrome and multisystem organ dysfunction. Acute lung injury is an important cause of mortality in the setting of severe acute pancreatitis. Besides lung involvement, acute and chronic pancreatitis may also lead to the involvement of other thoracic compartments, including mediastinum, pleura, and vascular structures. These manifestations are an important cause of morbidity and may pose diagnostic and therapeutic challenges. These manifestations have not been discussed in detail in the available literature. In this review, we discuss the thoracic complications of pancreatitis, including lung, pleural, mediastinal, and vascular manifestations.
重症急性胰腺炎可导致全身炎症反应综合征和多系统器官功能障碍。急性肺损伤是重症急性胰腺炎患者死亡的重要原因。除肺部受累外,急慢性胰腺炎还可能导致其他胸部结构受累,包括纵隔、胸膜和血管结构。这些表现是发病的重要原因,可能带来诊断和治疗方面的挑战。现有文献中尚未对这些表现进行详细讨论。在本综述中,我们将探讨胰腺炎的胸部并发症,包括肺部、胸膜、纵隔和血管方面的表现。