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内镜下壶腹活检后急性胰腺炎：一例报告。

Acute pancreatitis following endoscopic ampullary biopsy: A case report.

作者信息

George Nidhi Mariam, Rajesh Nanda Amarnath, Chitrambalam Tharun Ganapathy

机构信息

Department of General Surgery, SRM Medical College Hospital and Research Centre, Chennai 603203, Tamil Nadu, India.

Department of Medical Gastroenterology, SRM Medical College Hospital and Research Centre, Chennai 6030203, India.

出版信息

World J Gastrointest Endosc. 2023 Aug 16;15(8):540-544. doi: 10.4253/wjge.v15.i8.540.

DOI:10.4253/wjge.v15.i8.540
PMID:37663115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10473905/
Abstract

BACKGROUND

Endoscopic biopsy is mandatory for the diagnosis of malignant and premalignant ampullary tumours. The commonly reported inadvertent complications following routine mucosal biopsy include perforation and haemorrhage. Acute pancreatitis is an extremely rare complication following this procedure.

CASE SUMMARY

This report details the case of a 59-year-old man who underwent biopsy of the ampulla for a suspected periampullary tumour. Following the procedure, the patient presented with symptoms of acute pancreatitis which was substantiated by laboratory and radiological investigations. He was conservatively managed and discharged following complete resolution of symptoms.

CONCLUSION

This case report serves to highlight the importance of this potential complication following routine endoscopic biopsy of the ampulla.

摘要

背景

内镜活检对于壶腹恶性肿瘤和癌前肿瘤的诊断必不可少。常规黏膜活检后常见的意外并发症包括穿孔和出血。急性胰腺炎是该手术后极为罕见的并发症。

病例摘要

本报告详细介绍了一名59岁男性的病例，该患者因疑似壶腹周围肿瘤接受了壶腹活检。手术后，患者出现急性胰腺炎症状，经实验室和影像学检查得到证实。他接受了保守治疗，症状完全缓解后出院。

结论

本病例报告旨在强调壶腹常规内镜活检后这种潜在并发症的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a66/10473905/1dd615afd0c5/WJGE-15-540-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a66/10473905/67752c17c2b3/WJGE-15-540-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a66/10473905/1dd615afd0c5/WJGE-15-540-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a66/10473905/67752c17c2b3/WJGE-15-540-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a66/10473905/1dd615afd0c5/WJGE-15-540-g002.jpg

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本文引用的文献

1
Acute Pancreatitis Following Endoscopic Ampullary Biopsies without Attempted Cannulation of the Ampulla of Vater.未尝试对 Vater 壶腹插管的内镜下壶腹活检术后急性胰腺炎
Clin Endosc. 2016 Nov;49(6):575-578. doi: 10.5946/ce.2016.043. Epub 2016 Jul 20.
2
A case of severe necrotising pancreatitis following ampullary biopsy.一例壶腹活检后发生的严重坏死性胰腺炎。
Ann R Coll Surg Engl. 2015 May;97(4):e61-3. doi: 10.1308/003588415X14181254789646.
3
A case of acute pancreatitis following endoscopic biopsy of the ampulla of Vater.
1例壶腹内镜活检后发生急性胰腺炎。
Kurume Med J. 2013;60(2):67-70. doi: 10.2739/kurumemedj.ms63003. Epub 2013 Jan 27.
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A new diagnostic endoscopic tool for autoimmune pancreatitis.一种用于自身免疫性胰腺炎的新型诊断性内镜工具。
Gastrointest Endosc. 2008 Aug;68(2):358-61. doi: 10.1016/j.gie.2008.02.018. Epub 2008 Jun 2.
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Carcinoid of the ampulla of Vater.壶腹类癌
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Acute pancreatitis following endoscopic biopsy of the ampulla in a patient with Gardner's syndrome.一名患有加德纳综合征的患者在壶腹内镜活检后发生急性胰腺炎。
Gastrointest Endosc. 1994 May-Jun;40(3):367-9. doi: 10.1016/s0016-5107(94)70076-1.
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Lymphangioma of Vater's ampulla: a rare cause of obstructive jaundice. Endoscopic therapy.
Scand J Gastroenterol. 1995 Aug;30(8):804-6. doi: 10.3109/00365529509096331.