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頁籤選單縮合
| 題 名 | Gastric Necrosis and Perforation as a Severe Complication of Pancreatic Pseudocyst=急性胰臟炎假性囊腫併發胃黏膜壞死及胃穿孔 |
|---|---|
| 作 者 | 徐家揚; 李癸汌; 詹哲彰; 李發耀; 林漢傑; | 書刊名 | Journal of the Chinese Medical Association |
| 卷 期 | 72:11 2009.11[民98.11] |
| 頁 次 | 頁603-606+CA112 |
| 分類號 | 415.542 |
| 關鍵詞 | 胃穿孔; 胰臟炎; 假性囊腫; Gastric perforation; Pancreatitis; Pseudocyst; |
| 語 文 | 英文(English);英文(English) |
| 英文摘要 | Patients with acute pancreatitis may present with stress-related gastrointestinal mucosal lesions. But severe gastrointestinal complications such as gastric perforation are very rare. Here, we report a 40-year-old man who was admitted due to acute pancreatitis and pseudocyst formation. During hospitalization, panendoscopic examination found multiple scattered stress ulcers over the gastric antrum and a large ulcerative area with suspicious malignant features at the body and fundus. The patient received surgical intervention due to worsening of his clinical condition. Postoperative findings showed a perforation of the gastric wall at the region in contact with the pseudocyst, and microscopic examination found diffuse ischemia and necrosis with intravascular thrombus and emboli in gastric vessels. We suggest keeping in mind that pancreatic pseudocyst may cause serious gastrointestinal complications including massive necrosis and perforation of the gastric wall. |
本系統中英文摘要資訊取自各篇刊載內容。