术后胰腺炎 术内胆血管学:一个病例报告
Chenyi Mao1,2, Timothy Kenyon-Smith2, Matthew J Shears2
1Department of Medical Education, University of Melbourne, Melbourne, AUS.
Cureus
|November 18, 2025
概括
手术后胰腺炎是腹腔镜胆囊切除术期间手术内胆囊切除术 (IOC) 的罕见并发症. 这一案例凸显了对比反流进入胰腺管道作为潜在的原因,强调需要保持警.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
- 胆道成像 胆道成像
背景情况:
- 在腹腔镜胆囊切除术期间,用于胆道评估的手术内胆道图谱 (IOC) 是标准的.
- 手术后胰腺炎是IOC的罕见但已知的并发症.
- 早期识别和管理对于患者的治疗结果至关重要.
研究的目的:
- 在IOC之后报告急性胰腺炎病例.
- 为了强调对比的意义,反流进入胰腺管道.
- 强调认识到这种复杂性和实施密切监测的重要性.
主要方法:
- 一个41岁的男性接受了IOC的腹腔镜胆囊切除术的案例报告.
- 在IOC期间观察对比反流进入胰腺管道.
- 术后评估包括临床评估,实验室测试 (脂酶,LFTs) 和CT胆血管图.
主要成果:
- 患者在IOC的第二天出现了急性间歇性胰腺炎.
- 电脑图像胆管图像证实了胰腺炎,没有胆汁泄漏或胆固醇胆病.
- 患者在支持性护理下康复,并在术后第四天出院.
结论:
- 在IOC期间的对比反流可以导致术后胰腺炎.
- 在IOC之后,密切监测胰腺炎症状至关重要.
- 识别这种罕见的并发症可以改善患者的治疗和治疗结果.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
296
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
296
Endoscopic Procedures V: ERCP
2.6K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.6K
Acute Pancreatitis II: Clinical Manifestations and Management
711
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
711
Chronic Pancreatitis I: Introduction
650
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
650
