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壶腹癌引起的急性坏死性胰腺炎:一例报告

Acute necrotizing pancreatitis caused by ampullary cancer: a case report.

作者信息

Moyon Miguel A, Fernandez Tatiana B, Lopez Carlos Julio, Flores Luis F, Rosales Jose A, Aguayo William, Rojas Christian, Molina Gabriel A

机构信息

Department of General Surgery, Hospital General San Francisco de Quito, and School of Medicine at PUCE (Pontificia Universidad Católica del Ecuador), Quito, Ecuador.

General Surgery Training Program at Universidad Internacional del Ecuador (UIDE), Quito, Ecuador.

出版信息

J Surg Case Rep. 2024 Sep 12;2024(9):rjae575. doi: 10.1093/jscr/rjae575. eCollection 2024 Sep.

Abstract

Ampullary malignancies are extremely rare tumors that are usually diagnosed when they cause biliary obstruction. Rarely, any tumor or mass near or within the pancreas can cause acute pancreatitis and on even rarer occasions, these tumors can cause severe complications such as acute peripancreatic fluid collections, necrotizing pancreatitis, and infections. As a medical team, we must embrace these difficulties and these dreadful scenarios, as they are opportunities for growth for the medical team and opportunities to save even more patients. We present the case of a 59-year-old male who suddenly presented acute severe pancreatitis with necrosis and infection due to an ampullary mass. After recovery, he was referred to a tertiary center, where his cancer was successfully treated.

摘要

壶腹恶性肿瘤是极其罕见的肿瘤,通常在引起胆道梗阻时才被诊断出来。胰腺附近或胰腺内的任何肿瘤或肿块很少会导致急性胰腺炎,在更罕见的情况下,这些肿瘤会引起严重并发症,如急性胰周液体积聚、坏死性胰腺炎和感染。作为一个医疗团队,我们必须接受这些困难和可怕的情况,因为它们是医疗团队成长的机会,也是拯救更多患者的机会。我们报告一例59岁男性患者,因壶腹肿块突然出现急性重症胰腺炎伴坏死和感染。康复后,他被转诊至三级中心,在那里他的癌症得到了成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c6a/11393565/6b661658ec96/rjae575f1.jpg

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