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重症急性胰腺炎患者乙状结肠穿孔1例罕见病例

A Rare Case of Sigmoid Colon Perforation in a Patient With Severe Acute Pancreatitis.

作者信息

Saleh Hasan, Nimma Induja R, Huang Yuting, Amiraian Dana, Pang Maoyin, DeLeon Michelle, Chan Johanna, Lewis Michele D, Hashash Jana G

机构信息

Department of Internal Medicine, Mayo Clinic, Jacksonville, FL.

Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL.

出版信息

ACG Case Rep J. 2024 May 6;11(5):e01357. doi: 10.14309/crj.0000000000001357. eCollection 2024 May.

Abstract

Severe acute pancreatitis can cause systemic inflammation and multiorgan failure. We present the case of a 60-year-old woman who presented with necrotizing pancreatitis and subsequently developed a sigmoid colon perforation. The perforation presumably occurred because of extravasation of pancreatic enzymes into the abdominal cavity, resulting in colonic wall injury. Our case highlights the rare colonic complications of severe acute pancreatitis.

摘要

重症急性胰腺炎可导致全身炎症反应和多器官功能衰竭。我们报告一例60岁女性患者,该患者患有坏死性胰腺炎,随后发生乙状结肠穿孔。穿孔可能是由于胰酶渗入腹腔,导致结肠壁损伤所致。我们的病例凸显了重症急性胰腺炎罕见的结肠并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4963/11075940/17ac61ce7eea/ac9-11-e01357-g001.jpg

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