胰腺炎伴感染性假性囊肿表现为椎前脓肿，并自发性破裂入食管。
Pancreatitis with infected pseudocyst presenting as a prevertebral abscess with spontaneous rupture into the oesophagus.
机构信息
Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India.
Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India
出版信息
BMJ Case Rep. 2023 Aug 3;16(8):e252950. doi: 10.1136/bcr-2022-252950.
The development of a prevertebral abscess due to an infected pancreatic pseudocyst and its spontaneous rupture into the oesophagus is a rare complication. We report a man who presented with odynophagia, dyspnoea and abdominal pain. Contrast-enhanced CT showed evidence of pancreatitis and a prevertebral space abscess communicating with the pancreas through the oesophageal hiatus. The patient was diagnosed to have a prevertebral abscess with chronic pancreatitis. Surgical drainage was planned, but the patient died of spontaneous drainage of the prevertebral abscess into the oesophagus and aspiration of the collection into the lungs.
因感染性胰腺假性囊肿并发椎前脓肿并自发破裂至食管引起食管脓肿是一种罕见的并发症。我们报告了 1 例因吞咽困难、呼吸困难和腹痛就诊的患者。增强 CT 显示胰腺炎和椎前间隙脓肿的证据，该脓肿通过食管裂孔与胰腺相通。该患者被诊断为椎前脓肿伴慢性胰腺炎。计划进行手术引流，但患者因椎前脓肿自行引流至食管并将脓肿吸入肺部而死亡。
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