Sosnowska-Sienkiewicz Patrycja, Mańkowski Przemysław, Wojas Anna, Jończyk-Potoczna Katarzyna, Januszkiewicz-Lewandowska Danuta
Department of Pediatric Surgery, Traumatology and Urology, Poznan University of Medical Sciences, Szpitalna Street 27/33, 60-572 Poznan, Poland.
Department of Pediatric Radiology, Karol Jonscher Hospital, Szpitalna Street 27/33, 60-572 Poznan, Poland.
Medicina (Kaunas). 2021 Mar 17;57(3):279. doi: 10.3390/medicina57030279.
The International Neuroblastoma Risk Group Staging System (INRGSS) is based on the age of patients and preoperative imaging, with attention paid to whether the primary tumor is affected by one or more of specific image-defined risk factors (IDRFs). This publication presents a 2.5-year-old boy with neuroblastoma who had an accidental ligation of the celiac trunk during tumor resection. The consequences of this complication were pancreatic and spleen ischemia and necrosis, ischemia, and perforation of the common bile duct, gallbladder, stomach, and duodenum. The aim of this publication was to highlight the great role of the radiologist in determining the indications for neuroblastoma tumor removal, especially with current vascular IDRFs, and to show how the radiologist's insightful approach can save the patient from irreversible complications.
国际神经母细胞瘤风险组分期系统（INRGSS）基于患者年龄和术前影像学检查，关注原发肿瘤是否受一种或多种特定影像定义风险因素（IDRFs）影响。本文报道了一名2.5岁患神经母细胞瘤的男孩，其在肿瘤切除过程中意外结扎了腹腔干。该并发症导致胰腺和脾脏缺血坏死、胆总管、胆囊、胃和十二指肠缺血及穿孔。本文的目的是强调放射科医生在确定神经母细胞瘤肿瘤切除指征方面的重要作用，尤其是在当前存在血管IDRFs的情况下，并展示放射科医生的深刻见解如何能使患者避免不可逆并发症。
