Kuwatsuru R, Katayama H, Minowa O, Tsukada K
Department of Radiology, Juntendo University School of Medicine, Tokyo, Japan.
Radiat Med. 1995 May-Jun;13(3):147-8.
We have experienced a case of iodide mumps after CT examination with 100 ml of iopamidol. The patient was a 70-year-old woman with a history of right nephrectomy due to right renal cancer. She underwent CT examination to explore local recurrence and abdominal metastases including lymph node and liver metastases. Three hours after the CT examination, she complained of nausea, vomiting, facial flushing, bilateral jaw pain, and fever. The laboratory findings 12 hours after CT examination showed increased white blood cells and elevated serum amylase enzyme. Analysis of the amylase fraction showed that 86% originated from the salivary glands. She was admitted to the hospital, and the symptoms continued for four days, with decreasing severity. Anti-inflammatory therapy was performed, and the patient was discharged six days after the event.
我们遇到了一例在使用100毫升碘帕醇进行CT检查后发生碘化物性腮腺炎的病例。患者为一名70岁女性,有因右肾癌行右肾切除术的病史。她接受CT检查以探查局部复发及腹部转移情况,包括淋巴结和肝脏转移。CT检查三小时后,她出现恶心、呕吐、面部潮红、双侧颌部疼痛及发热症状。CT检查12小时后的实验室检查结果显示白细胞增多且血清淀粉酶升高。淀粉酶组分分析表明,86%的淀粉酶源自唾液腺。她入院治疗,症状持续了四天,严重程度逐渐减轻。进行了抗炎治疗,患者在事件发生六天后出院。