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气肿性胆囊炎与坏死性胰腺炎:健康年轻患者中罕见的危急病理组合

Emphysematous Cholecystitis and Necrotizing Pancreatitis: Unusual Combination of Critical Pathology in a Healthy Young Patient.

作者信息

Abu Amr Ahmad, Al-Tarakji Mohannad, Shahid Fakhar, Razzaq Sania, Muhammad Ali Syed

机构信息

General Surgery, Hamad Medical Corporation, Doha, QAT.

Acute Care Surgery, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2020 Aug 18;12(8):e9843. doi: 10.7759/cureus.9843.

DOI:10.7759/cureus.9843
PMID:32953350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7497293/
Abstract

Emphysematous cholecystitis (EC) is a rare form of severe cholecystitis, more common among old, frail males, with comorbidities like diabetes mellitus and peripheral vascular disease. The coexistence of emphysematous cholecystitis with necrotizing pancreatitis is extremely uncommon and in the literature, though it has been reported, no case was of a young patient like the one we are describing. He was treated with laparoscopic cholecystectomy, and his pancreatitis managed conservatively.

摘要

气肿性胆囊炎(EC)是一种罕见的严重胆囊炎形式,在老年体弱男性中更为常见,常伴有糖尿病和外周血管疾病等合并症。气肿性胆囊炎与坏死性胰腺炎并存极为罕见,虽然文献中有相关报道,但没有像我们描述的这样年轻患者的病例。他接受了腹腔镜胆囊切除术治疗,胰腺炎则采取保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a52/7497293/8a26fda256ad/cureus-0012-00000009843-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a52/7497293/2fd03ae30fb4/cureus-0012-00000009843-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a52/7497293/f55fc7fa7cc6/cureus-0012-00000009843-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a52/7497293/8a26fda256ad/cureus-0012-00000009843-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a52/7497293/2fd03ae30fb4/cureus-0012-00000009843-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a52/7497293/f55fc7fa7cc6/cureus-0012-00000009843-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a52/7497293/8a26fda256ad/cureus-0012-00000009843-i03.jpg

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Emphysematous Cholecystitis and Necrotizing Pancreatitis: Unusual Combination of Critical Pathology in a Healthy Young Patient.气肿性胆囊炎与坏死性胰腺炎:健康年轻患者中罕见的危急病理组合
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引用本文的文献

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本文引用的文献

1
Clinical and Survival Outcomes Using Percutaneous Cholecystostomy Tube Alone or Subsequent Interval Cholecystectomy to Treat Acute Cholecystitis.单纯经皮胆囊穿刺引流与后续间隔期胆囊切除术治疗急性胆囊炎的临床和生存结局。
J Gastrointest Surg. 2020 Mar;24(3):627-632. doi: 10.1007/s11605-019-04194-0. Epub 2019 Mar 18.
2
Contrast-enhanced ultrasound (CEUS) and gallbladder diseases - A retrospective mono-center analysis of imaging findings with histopathological correlation.超声造影(CEUS)与胆囊疾病——一项影像学表现与组织病理学相关性的回顾性单中心分析
Clin Hemorheol Microcirc. 2019;71(2):151-158. doi: 10.3233/CH-189405.
3
Emphysematous cholecystitis successfully treated by laparoscopic surgery.
腹腔镜手术成功治疗气肿性胆囊炎。
J Surg Case Rep. 2014 Apr 18;2014(4):rju027. doi: 10.1093/jscr/rju027.
4
Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus.急性胰腺炎的分类-2012:亚特兰大分类修订和国际共识定义。
Gut. 2013 Jan;62(1):102-11. doi: 10.1136/gutjnl-2012-302779. Epub 2012 Oct 25.
5
Emphysematous cholecystitis: Imaging findings in nine patients.气肿性胆囊炎:9例患者的影像学表现
Indian J Radiol Imaging. 2011 Apr;21(2):142-6. doi: 10.4103/0971-3026.82300.
6
Simultaneous emphysematous cholecystitis and emphysematous pancreatitis: a case report.同时发生的气肿性胆囊炎和气肿性胰腺炎:一例报告。
Clin Imaging. 2010 May-Jun;34(3):239-41. doi: 10.1016/j.clinimag.2007.12.009.
7
Emphysematous infections of the abdomen and pelvis: a pictorial review.腹部和盆腔气肿性感染:影像学综述
Radiographics. 2002 May-Jun;22(3):543-61. doi: 10.1148/radiographics.22.3.g02ma06543.
8
CT findings in acute gangrenous cholecystitis.急性坏疽性胆囊炎的CT表现
AJR Am J Roentgenol. 2002 Feb;178(2):275-81. doi: 10.2214/ajr.178.2.1780275.
9
Laparoscopic management and clinical outcome of emphysematous cholecystitis.气肿性胆囊炎的腹腔镜治疗及临床结果
Surg Endosc. 2001 Oct;15(10):1217-20. doi: 10.1007/s004640080018.
10
Acute emphysematous cholecystitis. Report of twenty cases.急性气肿性胆囊炎。20例报告。
Hepatogastroenterology. 1999 Jul-Aug;46(28):2144-8.