超动脉化学栓塞期间的立即发作的急性胰腺炎:一个病例报告
Yuan Shen1, Xuejie Deng1, Yuqing Chen1
1Department of Gastroenterology, People's Hospital of Leshan, Leshan, CHN.
Cureus
|December 11, 2025
概括
肝癌的转动脉化学栓塞 (TACE) 很少会导致急性胰腺炎. 这一案例表明导致胰腺缺血的栓塞性物质反流是可能的原因,强调了预防策略的必要性.
科学领域:
- 肝胆道医学 肝胆道医学
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 超动脉化血栓化 (TACE) 是对不可切除的肝细胞癌 (HCC) 的标准治疗方法.
- 急性胰腺炎是一种罕见但严重的并发症,与TACE手术有关.
- 与乙型肝炎相关的肝硬化是接受TACE的HCC患者常见的并发症.
研究的目的:
- 在HCC患者中报告TACE后的急性胰腺炎病例.
- 为了研究TACE诱导的胰腺炎的潜在机制.
- 讨论这种并发症的临床特征和预防策略.
主要方法:
- 一个57岁的男性患有HCC和肝硬化病例报告.
- 对临床表现,成像,实验室发现和治疗过程的分析.
- 关于胰腺炎并发症TACE的文献综述.
主要成果:
- 在TACE过程中,患者在栓塞输液后立即出现急性胰腺炎.
- 胰腺缺血是由于栓塞物质的反流导致的,被推断为原因.
- 记录了患者的病情和治疗方法.
结论:
- 急性胰腺炎是TACE对HCC的潜在严重并发症.
- 栓塞物质反流导致胰腺缺血是一种合理的机制.
- 意识和具体的预防策略对于管理TACE相关的胰腺炎至关重要.
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