小儿慢性钙化性胰腺炎所致大量心包积液引起的纵隔假性囊肿和心脏压塞
Mediastinal Pseudocyst and Cardiac Tamponade Due to Massive Pericardial Effusion in Pediatric Chronic Calcific Pancreatitis.
作者信息
Basu Suprit, Bhatacharya Mala, Das Suman, Debnath Bidyut, Sen Sandip, Chatterjee Anish
机构信息
Department of Paediatric Medicine, Dr. BC Roy Post Graduate Institute of Paediatric Sciences, Kolkata, West Bengal, India.
出版信息
J Pediatr Intensive Care. 2017 Sep;6(3):194-198. doi: 10.1055/s-0036-1587326. Epub 2016 Aug 8.
Abstract
A 7-year-old male patient with a history of recurrent abdominal pain over 1 year presented with cardiac tamponade due to massive pericardial effusion, which was percutaneously drained. Contrast-enhanced computed tomography revealed a large posterior mediastinal cyst and calcified, heterogeneous pancreatic parenchyma. Elevated amylase and lipase levels of the cyst fluid confirmed the diagnosis of pancreatic pseudocyst, which was treated with an octreotide infusion and Roux-en-Y cystojejunostomy. The child was discharged on pancreatic enzyme supplement and was asymptomatic on follow-up.
摘要
一名7岁男性患者，有1年多反复腹痛病史，因大量心包积液导致心脏压塞，接受了经皮引流。增强计算机断层扫描显示后纵隔有一个大囊肿，胰腺实质钙化且不均匀。囊肿液淀粉酶和脂肪酶水平升高证实为胰腺假性囊肿，采用奥曲肽输注和Roux-en-Y囊肿空肠吻合术治疗。患儿出院时接受胰腺酶补充治疗，随访时无症状。
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