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性别确认激素治疗与雌激素引起胆结石相关的急性胰腺炎
Tatiana Tselovalnikova1, Ifrah Fatima1, Brandon Barthel1
1Department of Internal Medicine, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
AACE clinical case reports
|October 7, 2024
概括
这份案例报告强调了一名使用雌激素治疗的跨性别女性急性胰腺炎 (AP). 雌激素可能会增加胆结石风险,可能导致AP,强调在激素治疗前仔细评估患者.
科学领域:
- 内分泌学 在内分泌学.
- 胃肠病学 胃肠病学
- 跨性别者健康 跨性别者健康
背景情况:
- 雌激素治疗是跨性别女性常见的.
- 这种人群中很少报告急性胰腺炎 (AP).
- 雌激素在AP中的作用尚未确立.
研究的目的:
- 描述一个在雌激素治疗的跨性别女性中AP的病例.
- 探索雌激素,胆结石和AP之间的潜在联系.
主要方法:
- 一个38岁的跨性别女性的案例报告.
- 管理包括支持性护理,抗生素,带支架的ERCP和胆囊切除术.
- 通过对胆结石的病理检查确认了诊断.
主要成果:
- 患者在胆管中产生胆胆结石 (胆管中的胆结石) 继发的AP.
- 胆结石被确定为原因,可能与雌激素使用有关.
- 在治疗和胆囊切除术后,恢复无事件.
结论:
- 高剂量雌激素治疗可能会通过胆结石形成增加跨性别女性的AP风险.
- 在开始激素治疗之前,彻底的患者评估和风险评估至关重要.
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