- 期刊
Hemorrhagic Pancreatic Pseudocyst Presenting as Upper Gastrointestinal Bleeding due to Gastric Penetration: A Case Report
胰臟出血性偽囊腫穿透胃導致上消化道出血：一病例報告
摘要
胰臟炎之後發生出血性偽囊腫乃嚴重的併發症，可以造成嚴重的消化道出血，也是慢性胰臟炎最嚴重的後果之一，發生的機率約6－10%。此種情況只占所有因上消化道出血而住院病人不到1%，出血性偽囊腫破裂導致嚴重胃穿孔更為少見，我們將報告此一罕見病例，病人雖經積極手術治療，不幸之後仍因敗血症死亡。
關鍵字
無資料並列摘要
A hemorrhagic pancreatic pseudocyst which follows pancreatitis is a severe complication that can lead to massive gastrointestinal bleeding. It is also one of the most serious complications of chronic pancreatitis. The reported incidents of hemorrhagic pseudocyst is between 6 and 10%, although rupture of such a pseudocyst into the stomach is rare and comprises less than 1% of all admissions for upper gastrointestinal hemorrhage. In this case report, we describe an unusual case in which severe UGI bleeding and gastric perforation were diagnosed due to rupture of a hemorrhagic pancreatic pseudocyst. Although aggressive surgical intervention was performed, unfortunately the patient expired later due to sepsis.
延伸閱讀
- Ho, K. S., Tsao, T. Y., Lin, Y. C., Chang, T. M., Liaw, C. W., & Tung, J. N. (2005). 胰臟淋巴上皮性囊腫：－病例報告. 臺灣消化醫學雜誌, 22(2), 159-166. https://doi.org/10.6557/GJT.200506_22(2).0007
- Chiu, H. H., Lin, M. T., & Huang, C. C. (2010). 侵犯脾臟的胰臟假性囊腫：一病例報告. 臺灣消化醫學雜誌, 27(1), 18-21. https://doi.org/10.6557/GJT.201003_27(1).0003
- Chen, Y. H., Hsu, H. Y., Cheng, Y. H., & Lin, Y. M. (2010). 胰臟神經內分泌腫瘤併囊狀變化及大腸桿菌感染：一病例報告. 臺灣消化醫學雜誌, 27(3), 290-295. https://doi.org/10.6557/GJT.201009_27(3).0008
- 大田生穗、蔣咸嘉、黃倫奕（1987）。慢性胰臟炎併發假性囊腫囊內出血－病例報告。中華放射線醫學雜誌，12(1)，71-74。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198703-12-1-71-74-a
- Chen, C. Y., Shin, J. S., Tsai, H. M., & Lin, X. Z. (1995). 慢性胰臟炎併偽動脈血管瘤出血：一病例報告. 中華民國消化系醫學會雜誌, 12(2), 189-194. https://doi.org/10.6557/GJTa.199506_12(2).0004