Heim D, Sutter P M, Mattli J, Matter P
Chirurgische Abteilung, Spital Davos, Davos-Platz.
Chirurg. 1994 Jan;65(1):68-71.
There are many potential reasons for an acute abdomen. Very rare is a rupture of a cystadenoma of the pancreas. We describe such a case of an 85-year old woman, who was treated with an internal drainage of the cyst with a Roux-Y-loop, as at the time of the emergency operation the histological diagnosis was not known. As for the age of the patient and her general condition a secondary procedure with total resection of the mucinous cyst was not carried out. The post-operative course was uneventful up to three months, when the patient died in a geriatric home due to a antibiotic-resistant urosepsis. Literature is reviewed and our case is discussed in respect to recent publications.
急腹症存在许多潜在病因。胰腺囊腺瘤破裂极为罕见。我们描述了这样一例85岁女性患者，在急诊手术时，由于当时尚不知晓组织学诊断结果，故采用Roux-Y袢对囊肿进行了内引流治疗。鉴于患者年龄及全身状况，未进行黏液性囊肿全切的二期手术。术后三个月内病情平稳，之后患者在养老院因耐抗生素泌尿道感染而死亡。我们查阅了相关文献，并结合近期发表的文章对本病例进行了讨论。
