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以胃结肠瘘为表现的急性坏死性胰腺炎:一种罕见情况。

Acute Necrotizing Pancreatitis Presenting as Gastrocolic Fistula: A Rare Occurrence.

作者信息

Pawar Twinkle, Reddy Harshitha, Kumar Sunil, Acharya Sourya, Kirnake Vijendra

机构信息

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.

Department of Gastroenterology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.

出版信息

Cureus. 2024 Feb 9;16(2):e53937. doi: 10.7759/cureus.53937. eCollection 2024 Feb.

Abstract

Tissue necrosis and ischemia are hallmarks of acute necrotizing pancreatitis, which frequently results in fatal infections. In this case, we describe a man in his 40s who had diffuse pain in the abdomen, intractable vomiting, diarrhoea, and intermittent fever. His abdominal computed tomography revealed acute pancreatitis with peripancreatic fluid collection, gastric perforation, and fistula formation between the greater curvature of the stomach and transverse colon. His upper gastrointestinal (GI) endoscopy confirmed a gastrocolic fistula.

摘要

组织坏死和缺血是急性坏死性胰腺炎的特征,常导致致命性感染。在此病例中,我们描述了一名40多岁的男性,他有腹部弥漫性疼痛、顽固性呕吐、腹泻和间歇性发热。他的腹部计算机断层扫描显示急性胰腺炎伴胰周积液、胃穿孔以及胃大弯和横结肠之间形成瘘管。他的上消化道内镜检查证实了胃结肠瘘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a3/10925978/3681b193d5c1/cureus-0016-00000053937-i01.jpg

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