Goyal Tanvi, Javaid Toseef, Goyal Anirudh, Khan Zubair
Department of Internal Medicine, University of Toledo College of Medicine, Toledo, OH.
Department of Gastroenterology, University of Toledo College of Medicine, Toledo, OH.
ACG Case Rep J. 2019 Oct 24;6(10):e00269. doi: 10.14309/crj.0000000000000269. eCollection 2019 Oct.
Necrosis developing 4 weeks after the initial acute pancreatitis attack is known as walled-off pancreatic necrosis (WOPN). Complications of WOPN include spontaneous rupture into the peritoneal cavity or hollow viscus obstruction by compression of surrounding structures, including the colon, stomach, duodenum, and common bile duct. There have also been cases of pseudocyst rupture into blood vessels. This case report is unique in that it highlights a patient with inferior vena cava compression leading to hemodynamic instability due to the mass effect of WOPN and has not been previously reported.
初次急性胰腺炎发作4周后出现的坏死称为包裹性胰腺坏死（WOPN）。WOPN的并发症包括自发破裂进入腹腔或因周围结构（包括结肠、胃、十二指肠和胆总管）受压导致中空脏器梗阻。也有假性囊肿破裂进入血管的病例。本病例报告的独特之处在于，它突出了一名因WOPN的占位效应导致下腔静脉受压并引起血流动力学不稳定的患者，此前未见报道。
