Chernev K, Marinova I, Spasova Z, Ianev F
Vutr Boles. 1988;27(1):120-2.
A case of a man 33 years of age with severe hemorrhagic-necrotic chronic recurrent alcoholic pancreatitis is reported. The diagnosis was confirmed by clinical, laboratory-biochemical and ultrasound examinations. The last recurrence of the disease was marked by two cysts in the left hypochondrium proved by ultrasound examination. The laparoscopy revealed two very large pseudocysts filled with hemorrhagic liquid originating from the pancreas. In spite of the active postoperative treatment the patient died of severe hemorrhage--manifested by hematemesis, melaena and hemorrhagic shock. The postmortem examination revealed severe hemorrhagic-necrotic pancreatitis with sequestrations, pancreatic lithiasis and 3 large cysts in the abdomen: of the omentum, subhepatic and in the left hypochondrium as well as a perforated ventricular ulcer.
报告了一例33岁男性患有严重出血坏死性慢性复发性酒精性胰腺炎的病例。通过临床、实验室生化和超声检查确诊。疾病的最后一次复发表现为超声检查证实左季肋部有两个囊肿。腹腔镜检查发现两个非常大的假性囊肿,充满了源自胰腺的血性液体。尽管术后积极治疗,患者仍死于严重出血,表现为呕血、黑便和失血性休克。尸检显示严重出血坏死性胰腺炎伴坏死组织、胰腺结石以及腹部有3个大囊肿:网膜囊肿、肝下囊肿和左季肋部囊肿,还有一个穿孔性胃溃疡。