Slater G, Goldblum S E, Tzamaloukas A H, Jones W L, Goldhahn R T
Am J Med Sci. 1984 Jul-Aug;288(1):37-9. doi: 10.1097/00000441-198407000-00009.
A patient presented with acute hemorrhagic pancreatitis complicated by both renal cortical necrosis and Purtscher's retinopathy. Either of these two complications is rare and never before have both been reported in the same patient. The patient's renal insufficiency required hemodialysis; it gradually improved over two years when dialysis could be discontinued. The patient's retinopathy included bilateral hemorrhages and cotton wool spots; visual fields and acuity remained normal. Funduscopic lesions disappeared by three months after the acute event. These two rare vasculo-occlusive complications of pancreatitis simultaneously occurring in one individual might suggest complement-mediated leukostatic mechanisms.
一名患者出现急性出血性胰腺炎，并发肾皮质坏死和普尔夏视网膜病变。这两种并发症中的任何一种都很罕见，此前从未有过同一患者同时出现这两种并发症的报道。患者的肾功能不全需要进行血液透析；在两年内逐渐改善，最终可以停止透析。患者的视网膜病变包括双侧出血和棉絮斑；视野和视力保持正常。急性事件发生三个月后，眼底病变消失。这两种罕见的胰腺炎血管闭塞性并发症同时出现在一个个体中，可能提示补体介导的白细胞停滞机制。
