Paludetti A, Reduzzi R, Frosali D, Forloni B
Divisione di Chirurgia II, Ospedale di Treviglio, Bergamo.
Minerva Chir. 1998 Jun;53(6):527-9.
Pancreatic abscesses are a frequent complication of acute pancreatitis and their percutaneous drainage is usually accepted. A 76 years-old male patient admitted for acute pancreatitis (Ranson 3 at admission) has been treated with conservative therapy and percutaneous US directed drainage of the abscess, located between the tail of the pancreas and the gastric fundus. This kind of drainage was able to empty the abscess satisfactorily but it caused the onset of a gastrocutaneous fistula. This one was sutured on the gastric side by metal clips placed by gastroscopy. The patient was discharged on the 60th day in a good condition. An X-ray investigation with gastrografine before the drainage removal is therefore recommended.
胰腺脓肿是急性胰腺炎的常见并发症，通常采用经皮引流治疗。一名76岁男性患者因急性胰腺炎入院（入院时Ranson评分为3分），接受了保守治疗及经皮超声引导下对位于胰尾和胃底之间的脓肿进行引流。这种引流方法能够使脓肿充分排空，但导致了胃皮肤瘘的发生。通过胃镜放置金属夹在胃侧对胃皮肤瘘进行了缝合。患者在第60天状况良好出院。因此，建议在拔除引流管前进行泛影葡胺X线检查。
