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急性坏死性胰腺炎消退伴脂肪肝逆转:1例罕见病例

Reversal of Fatty Liver With Regression of Acute Necrotizing Pancreatitis: A Rare Case.

作者信息

Khaladkar Sanjay M, Paidlewar Sayali, Lamghare Purnachandra, Pandey Ankita

机构信息

Radiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

出版信息

Cureus. 2024 Jul 30;16(7):e65729. doi: 10.7759/cureus.65729. eCollection 2024 Jul.

Abstract

Acute pancreatitis is a severe inflammatory condition that can lead to systemic repercussions, one of which is the development of hepatic steatosis (fatty liver). The accumulation of fat in liver cells can complicate the course of pancreatitis, exacerbating inflammation and causing additional metabolic disturbances. The presence of fatty liver in the context of acute pancreatitis can thus worsen the overall clinical picture, making management more challenging and potentially leading to further complications. Here, we discuss a rare case of a 34-year-old female who demonstrated the reversal of fatty liver following the improvement of acute pancreatitis. This case highlights the dynamic relationship between acute pancreatitis and hepatic steatosis, illustrating that effective management of pancreatitis can lead to significant improvements in associated conditions such as fatty liver.

摘要

急性胰腺炎是一种严重的炎症性疾病,可导致全身反应,其中之一是肝脂肪变性(脂肪肝)的发展。肝细胞内脂肪的积累会使胰腺炎的病程复杂化,加剧炎症并引起额外的代谢紊乱。因此,急性胰腺炎患者出现脂肪肝会使整体临床情况恶化,使治疗更具挑战性,并可能导致进一步的并发症。在此,我们讨论一例罕见病例,一名34岁女性在急性胰腺炎病情改善后脂肪肝出现逆转。该病例突出了急性胰腺炎与肝脂肪变性之间的动态关系,表明有效治疗胰腺炎可使脂肪肝等相关病症得到显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25cd/11359912/d33861df44dd/cureus-0016-00000065729-i01.jpg

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