Alexander E S, Clark R A, Federle M P
AJR Am J Roentgenol. 1982 Dec;139(6):1089-93. doi: 10.2214/ajr.139.6.1089.
Although pancreatic gas may be associated with pancreatic abscess, it was found that pancreatic gas indicates the presence of a fistula rather than abscess alone. Of 10 patients with pancreatic gas on computed tomography, fistulas were present in all. Fistulization results from pancreatic pseudocyst rupture or as a complication of phlegmonous pancreatitis. In most cases the fistula does not adequately decompress the pseudocyst or pancreatic phlegmon. In addition, fistulas may predispose to sepsis and hemorrhage. It is important to identify the presence of a pancreatic fistula since patient management may be altered.
虽然胰腺积气可能与胰腺脓肿相关，但研究发现胰腺积气提示存在瘘管，而非仅提示脓肿。在10例计算机断层扫描显示有胰腺积气的患者中，均存在瘘管。瘘管形成是由于胰腺假性囊肿破裂或作为蜂窝织炎性胰腺炎的并发症。在大多数情况下，瘘管不能充分引流假性囊肿或胰腺蜂窝织炎。此外，瘘管可能易引发败血症和出血。识别胰腺瘘管的存在很重要，因为这可能会改变患者的治疗方案。
