Lange H, Rozentale I
Chirurgische Klinik des Kreiskrankenhauses Köping, Schweden.
Zentralbl Chir. 1995;120(4):328-30.
The varying sites of extrapancreatic tissue necrosis in acute pancreatitis seldom include the anterior abdominal wall. In cases of liver enlargement causing a high portal pressure, the umbilical vein serves as a vent, shunting the portal blood through the teretic hepatic ligament to the anterior abdominal wall. Corticosteroids make the tissues even more susceptible to the activated pancreatic enzymes and are thus a contributing factor to the tissue necrosis. We describe a case of necrosis of the teretic hepatic ligament and the anterior rectus abdominis muscle following acute biliary pancreatitis.
急性胰腺炎时胰腺外组织坏死的不同部位很少包括前腹壁。在肝脏肿大导致门静脉高压的情况下，脐静脉作为一个通道，将门静脉血通过肝圆韧带分流至前腹壁。皮质类固醇使组织对活化的胰酶更敏感，因此是组织坏死的一个促成因素。我们描述了一例急性胆源性胰腺炎后肝圆韧带和腹直肌前鞘坏死的病例。
