在上胃肠内镜检查后发生的急性胰腺炎病例:一种罕见的术后并发症
Hasan H Çoban1, Güngör Sitar1, Elif N Yilmaz1
1Internal Medicine, University of Health Sciences, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Istanbul, TUR.
Cureus
|January 12, 2026
概括
上部胃肠道内镜很少会引发急性胰腺炎. 本病例报告强调要认识到这种并发症,特别是在新的腹痛后手术时,以改善诊断和理解.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 医疗并发症 医疗并发症
背景情况:
- 急性胰腺炎是在上部胃肠内镜检查后出现的罕见但严重的并发症.
- 诊断可能具有挑战性,因为症状可能与手术的主要适应症重叠.
- 末镜后胰腺炎的确切机制尚未完全理解.
研究的目的:
- 在上胃肠内镜检查后报告急性胰腺炎病例.
- 强调考虑内镜作为胰腺炎的潜在触发器的重要性.
- 为有限的文献做出贡献,提高临床意识.
主要方法:
- 一个57岁的妇女在上部胃肠内镜检查后出现腹痛,恶心和吐的病例报告.
- 诊断评估包括实验室测试 (脂酶,氨酶) 和成像研究.
- 通过止痛药,液体治疗和肠道休息进行保守的管理.
主要成果:
- 升高的脂酶和粉酶水平证实了急性胰腺炎.
- 图像学研究支持了诊断.
- 随着保守的治疗,患者的症状有所改善.
结论:
- 上部胃肠道内镜是一种潜在的,虽然罕见的,急性胰腺炎的原因.
- 提高临床意识和记录这些病例对于诊断和理解至关重要.
- 需要进一步的研究来阐明这种罕见并发症的潜在机制.
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