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非典型溶血性尿毒症综合征:内镜逆行胰胆管造影术后胰腺炎的一种罕见并发症。

Atypical hemolytic uremic syndrome: a rare complication of postendoscopic retrograde cholangiopancreatography pancreatitis.

作者信息

Nanagiri Apoorva, Pravder Samantha, Solomon Sonia, Tewari Virender, Bostwick Howard

机构信息

Department of Pediatric Gastroenterology & Nutrition, Maria Fareri Children's Hospital/Westchester Medical Center Health Network New York Medical College, & Boston Children's Health Physician Network Valhalla New York USA.

Department of Nephrology Maria Fareri Children's Hospital/Westchester Medical Center Health Network New York Medical College, & Boston Children's Health Physician Network Valhalla New York USA.

出版信息

JPGN Rep. 2025 Mar 10;6(2):193-195. doi: 10.1002/jpr3.70014. eCollection 2025 May.

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a crucial procedure for diagnosing and managing conditions affecting the pancreas and biliary tract. The procedure can be technically challenging and carries risks of complications, with post-ERCP pancreatitis (PEP) being the most common. We report a case of a 16-year-old female who presented with cholelithiasis that progressed to choledocholithiasis which was removed using ERCP. Following this, she developed PEP and subsequently progressed to atypical hemolytic uremic syndrome, a rare complication reported in the pediatric literature.

摘要

内镜逆行胰胆管造影术(ERCP)是诊断和治疗影响胰腺和胆道疾病的关键程序。该手术在技术上可能具有挑战性,并且存在并发症风险,其中ERCP术后胰腺炎(PEP)最为常见。我们报告一例16岁女性病例,该患者最初患有胆结石,后发展为胆总管结石,并通过ERCP将结石取出。此后,她发生了PEP,随后进展为非典型溶血尿毒综合征,这是儿科文献中报道的一种罕见并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da66/12078042/67387979aea6/JPR3-6-193-g001.jpg

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