Ahmed Z, Mohyuddin Z
Department of Thoracic and Vascular Surgery, Mafraq Hospital, Abu Dhabi, United Arab Emirates.
Postgrad Med J. 1997 Jul;73(861):421-3. doi: 10.1136/pgmj.73.861.421.
A case is described where accidental acid ingestion resulted in the development of oesophageal stricture and complete gastric outlet obstruction. Following a smoothly conducted pre-surgery endoscopic examination the patient developed acute pancreatitis, which, on initial clinical examination, was diagnosed as a viscus perforation. The severity of pancreatitis was such as to lead to disseminated intravascular coagulopathy and ultimately death. The interest lies in the fact that pancreatitis was precipitated in a previously traumatised stomach by such an innocuous procedure as fibre-optic endoscopy.
本文描述了一例因意外摄入酸导致食管狭窄和完全性胃出口梗阻的病例。在一次顺利进行的术前内镜检查后，患者发生了急性胰腺炎，在最初的临床检查中，被诊断为脏器穿孔。胰腺炎的严重程度导致了弥散性血管内凝血，最终导致死亡。有趣的是，胰腺炎是由纤维内镜检查这种无害的操作在先前受过创伤的胃中引发的。
