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相關文獻
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| 題 名 | Pancreatic Pseudocyst Complicated with Acute Suppurative Mediastinitis and Neck Involvement=胰臟假囊腫引發急性化膿性縱隔腔炎合併頸部侵犯 |
|---|---|
| 作 者 | 游群翔; 賴吾為; 張漢煜; | 書刊名 | 胸腔醫學 |
| 卷 期 | 26:2 2011.04[民100.04] |
| 頁 次 | 頁73-79 |
| 分類號 | 415.542、415.542 |
| 關鍵詞 | 胰臟炎; 縱隔腔腫瘤; Pancreatic pseudocyst; Acute mediastinitis; |
| 語 文 | 英文(English) |
| 中文摘要 | 胰臟假囊腫是一種急性或慢性胰臟炎所引發的併發症。從西元1951年,約有五十多篇文獻報導胰臟假囊腫合併侵犯縱隔腔的個案,然而,鮮少有報告胰臟假囊腫併發上升性縱隔腔炎。因此到目前,我們報告第一位因胰臟假性囊腫引發急性上升性縱膈腔炎合併侵犯頸部的個案。這位病人有慢性酒精性胰臟炎的病史,因發燒、吞嚥困難和頸部腫脹來到急診室。由胸腔X光片發現縱隔腔變寬且合併左側肋膜腔積液。從縱隔腔電腦斷層影像,發現有胰臟假性囊腫,並且沿著縱隔腔往上引發縱膈腔炎和侵犯頸部。此病患接受胸腔鏡手術,頸部切開引流和胰臟假囊腫電腦斷層指引經皮引流術,目前此病人已恢復健康並於門診追蹤。 |
| 英文摘要 | Pancreatic pseudocyst is a complication of acute or chronic pancreatitis. Since 1951, only about 50 cases of mediastinal extension of pancreatic pseudocyst haves been published in the literature. However, pancreatic pseudocyst complicated with ascending mediastinitis is rarely reported. To our knowledge, this is the first case report of a patient suffering from ascending mediastinitis with extension to the neck due to a pancreatic pseudocyst. A 47-yearold male patient with alcohol-related chronic pancreatitis presented fever, dysphagia, and neck swelling for 1 week. Chest X-ray at our emergency department showed mediastinal widening with left pleural effusion. Base on the computed tomography images, pancreatic pseudocyst complicated with ascending mediastinitis and extension to the neck was confirmed. We treated the patient with video-assisted thoracoscopic surgery for mediastinitis, and used percutaneous computed tomography guided drainage for the pancreatic pseudocyst. The patient recovered and has been followed at our out-patient department. |
本系統中英文摘要資訊取自各篇刊載內容。