急性胰腺炎患者的非创伤性脾破裂
Atraumatic splenic rupture in patient with acute pancreatitis.
作者信息
Nadaraja Roshini, Yahya Zarif, Mori Krinal, Aly Ahmad
机构信息
Surgery, Austin Health, Heidelberg, Victoria, Australia
Surgery, Austin Health, Heidelberg, Victoria, Australia.
出版信息
BMJ Case Rep. 2021 Mar 23;14(3):e238559. doi: 10.1136/bcr-2020-238559.
Abstract
Atraumatic splenic rupture (ASR) is a rare complication of acute pancreatitis with high mortality and morbidity rates. We present a case of a 63-year-old woman with a history of hypertension, presenting with acute pancreatitis who subsequently developed a splenic rupture requiring a laparotomy and splenectomy. ASR is a rare but life-threatening complication requiring prompt recognition and management and should be considered in patient with pancreatitis who develops sudden haemodynamic compromise and worsening anaemia.
摘要
非创伤性脾破裂（ASR）是急性胰腺炎的一种罕见并发症，死亡率和发病率很高。我们报告一例63岁有高血压病史的女性，以急性胰腺炎就诊，随后发生脾破裂，需要进行剖腹手术和脾切除术。ASR是一种罕见但危及生命的并发症，需要迅速识别和处理，对于发生突然血流动力学不稳定和贫血加重的胰腺炎患者应考虑到这种情况。
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