经肝门静脉支架置入术后急性胰腺炎相关乳糜性腹水完全消退。
Complete resolution of acute pancreatitis-induced chylous ascites following transhepatic portal vein stenting.
机构信息
Department of Gastroenterology, Imperial College Healthcare NHS Trust, London, UK
Department of Gastroenterology, Imperial College Healthcare NHS Trust, London, UK.
出版信息
BMJ Case Rep. 2020 Dec 13;13(12):e235986. doi: 10.1136/bcr-2020-235986.
We introduce a case of a 73-year-old man who developed intractable chylous ascites due to portal vein compression as a result of peripancreatic inflammatory changes after acute biliary pancreatitis. After stenting the portal vein stenosis, the chylous ascites improved from requiring weekly paracentesis to requiring no drainage within 4 months of the procedure and at the 15-month follow-up. To our knowledge, it is the first case reported in the literature where portal vein stenting has successfully been used to treat pancreatitis-induced chylous ascites.
我们介绍了一例 73 岁男性病例，该患者因急性胆源性胰腺炎后胰周炎症改变导致门静脉受压而出现难治性乳糜性腹水。在对门静脉狭窄进行支架置入后，患者的乳糜性腹水从每周需要进行腹腔穿刺引流改善至术后 4 个月无需引流，并且在 15 个月的随访中仍无需引流。据我们所知，这是首例文献报道的使用门静脉支架成功治疗胰腺炎相关性乳糜性腹水的病例。
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