一例胰腺假性囊肿破裂入脾静脉导致肝外门静脉高压的病例报告。

Case report of a pancreatic pseudocyst ruptured into the splenic vein causing extrahepatic portal hypertension.

作者信息

Yamamoto S, Takeshige K, Aradawa T, Kuroda H, Kanda S, Takayama T, Katada N

出版信息

Jpn J Surg. 1982;12(5):387-90. doi: 10.1007/BF02469640.

Abstract

In a 42 year old female, a fistula developed between the splenic vein and the pancreatic duct through the cavity of a pseudocyst in the tail of the pancreas and resulted in an extrahepatic portal hypertension. The fistula was visualized by endoscopic retrograde cholangiopancreatography and percutaneous transhepatic portography, then was successfully resected by surgery. The possible etiology of extended obstruction of both splenic and portal veins in chronic pancreatitis with pseudocyst was discussed.

摘要

在一名42岁女性患者中，脾静脉与胰管之间通过胰腺尾部假性囊肿腔形成了瘘管，导致肝外门静脉高压。通过内镜逆行胰胆管造影术和经皮肝门静脉造影术观察到了瘘管，随后通过手术成功切除。讨论了慢性胰腺炎合并假性囊肿时脾静脉和门静脉广泛梗阻的可能病因。