Barka Malek, Rguez Arib, Ben Cheikh Yasser, Chaouch Mohamed Ali, Jarrar Mohamed Salah, Ben Abdessalem Zied, Hamila Fehmi, Youssef Sabri
Department of General and Digestive Surgery, Farhat Hached University Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia.
Department of Radiology, Sahloul University Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia.
SAGE Open Med Case Rep. 2023 Jul 29;11:2050313X231188885. doi: 10.1177/2050313X231188885. eCollection 2023.
Acute necrotic pancreatitis is an emergency of evolution and is often unpredictable because of the potentially life-threatening complications it can cause. We report a unique case of a 56-year-old woman hospitalized for acute necrotic pancreatitis. The evolution of the latter was characterized by the occurrence of two very rare complications, of which the clinical presentations were atypical. The first complication was a gastroduodenal pseudoaneurysm compressing the main biliary tract and causing obstructive jaundice, which evolved well following percutaneous embolization. The second complication was a giant 20 cm pancreatic pseudocyst revealed by obstructive jaundice secondary to biliary compression, which progressed well following surgical treatment.
急性坏死性胰腺炎是一种进展迅速的急症，由于其可能引发危及生命的并发症，往往难以预测。我们报告了一例56岁女性因急性坏死性胰腺炎住院的独特病例。该病例的病情发展具有两个非常罕见的并发症，其临床表现不典型。第一个并发症是胃十二指肠假性动脉瘤压迫主胆道并导致梗阻性黄疸，经皮栓塞术后病情好转。第二个并发症是一个巨大的20厘米胰腺假性囊肿，由胆道受压继发的梗阻性黄疸所揭示，手术治疗后病情进展良好。
