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中华肝脏外科手术学电子杂志 ›› 2023, Vol. 12 ›› Issue (04) : 461 -463. doi: 10.3877/cma.j.issn.2095-3232.2023.04.020

所属专题: 综述

病例报告

经尿道膀胱镜钬激光碎石术后并发中度重症急性胰腺炎一例
陈海艳, 周惠敏, 崔佳琪, 杨军()   
  1. 214000 江苏省无锡市,江南大学附属医院普通外科 无锡市肝胆外科研究所
  • 收稿日期:2023-02-28 出版日期:2023-08-10
  • 通信作者: 杨军
  • 基金资助:
    无锡市首届"双百"中青年医疗卫生拔尖人才(BJ2020045); 无锡市社会发展科技示范工程项目(N20201003)

Moderate severe acute pancreatitis following transurethral cystoscopic holmium laser lithotripsy: report of one case

Haiyan Chen, Huimin Zhou, Jiaqi Cui   

  • Received:2023-02-28 Published:2023-08-10
引用本文:

陈海艳, 周惠敏, 崔佳琪, 杨军. 经尿道膀胱镜钬激光碎石术后并发中度重症急性胰腺炎一例[J/OL]. 中华肝脏外科手术学电子杂志, 2023, 12(04): 461-463.

Haiyan Chen, Huimin Zhou, Jiaqi Cui. Moderate severe acute pancreatitis following transurethral cystoscopic holmium laser lithotripsy: report of one case[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(04): 461-463.

经尿道膀胱镜钬激光碎石术后并发急性胰腺炎病例临床罕见,且相关作用机制尚不明确。本文报道1例膀胱结石伴前列腺增生患者使用经尿道膀胱镜钬激光碎石术并发中度重症急性胰腺炎(acute pancreatitis,AP)的治疗经过及预后,并查阅相关文献,分析本例患者并发AP的可能机制。

图1 一例经尿道膀胱镜钬激光碎石术后并发MSAP患者CT检查注:a为术前CT示膀胱结石,伴有膀胱残余尿阳性,腹内压偏高;b为8月25日CT示AP,胰腺体积增大,包膜掀起,胰周见液体渗出影;c为9月15日CT示AP明显吸收,胰腺周围少许渗出性改变,胰腺周围、脾门旁、肾前筋膜及左侧肾上腺区上方多处包裹性积液;AP为急性胰腺炎,MSAP为中度重症急性胰腺炎
表1 一例经尿道膀胱镜钬激光碎石术后并发MSAP患者实验室检查
[1]
Forsmark CE, Vege SS, Wilcox CM. Acute pancreatitis[J]. N Engl J Med, 2016, 375(20):1972-1981.
[2]
van Dijk SM, Hallensleben NDL, van Santvoort HC, et al. Acute pancreatitis: recent advances through randomised trials[J]. Gut, 2017, 66(11):2024-2032.
[3]
Zheng Y, Zhou Z, Li H, et al. A multicenter study on etiology of acute pancreatitis in Beijing during 5 years[J]. Pancreas, 2015, 44(3):409-414.
[4]
Lankisch PG, Apte M, Banks PA. Acute pancreatitis[J]. Lancet, 2015, 386(9988):85-96.
[5]
Abddalla M, Davin JL, Granier B, et al. Complications of transurethral resection in the treatment of benign prostatic hypertrophy. apropos of a series of 1 180 adenomas--1976-1986[J].J Urol, 1989, 95(1):15-21.
[6]
Smit M, Buddingh KT, Bosma B, et al. Abdominal compartment syndrome and intra-abdominal ischemia in patients with severe acute pancreatitis[J]. World J Surg, 2016, 40(6):1454-1461.
[7]
Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus[J]. Gut, 2013, 62(1):102-111.
[8]
中华医学会外科学分会胰腺外科学组. 中国急性胰腺炎诊治指南(2021)[J]. 中华消化外科杂志, 2021, 20(7):730-739.
[9]
Kirkpatrick AW, Roberts DJ, Waele JD, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome[J]. Intensive Care Med, 2013, 39(7):1190-1206.
[10]
Sui F, Zheng Y, Li WX, et al. Renal circulation and microcirculation during intra-abdominal hypertension in a porcine model[J]. Eur Rev Med Pharmacol Sci, 2016, 20(3):452-461.
[11]
Gaut MM, Ortiz J. Management of abdominal compartment syndrome after transurethral resection of the prostate[J]. Rev Bras Anestesiol, 2015, 65(6):519-521.
[12]
Cheng J, Wei Z, Liu X, et al. The role of intestinal mucosa injury induced by intra-abdominal hypertension in the development of abdominal compartment syndrome and multiple organ dysfunction syndrome[J]. Crit Care, 2013, 17(6):R283.
[13]
Kurdia KC, Irrinki S, Chala AV, et al. Early intra-abdominal hypertension: a reliable bedside prognostic marker for severe acute pancreatitis[J]. JGH Open, 2020, 4(6):1091-1095.
[14]
Aitken EL, Gough V, Jones A, et al. Observational study of intra-abdominal pressure monitoring in acute pancreatitis[J]. Surgery, 2014, 155(5):910-918.
[15]
曹利军, 付路, 黎命娟, 等. 急性胰腺炎严重程度临床指数联合腹内压测定对胰腺炎严重程度及预后的预测价值[J]. 中华普通外科杂志, 2022, 37(2):118-121.
[16]
Mifkovic A, Skultety J, Sykora P, et al. Intra-abdominal hypertension and acute pancreatitis[J]. Bratisl Lek Listy, 2013, 114(3):166-171.
[17]
Chen H, Li F, Sun JB, et al. Abdominal compartment syndrome in patients with severe acute pancreatitis in early stage[J]. World J Gastroenterol, 2008, 14(22): 3541-3548.
[18]
Boone B, Zureikat A, Hughes SJ, et al. Abdominal compartment syndrome is an early, lethal complication of acute pancreatitis[J]. Am Surg, 2013, 79(6):601-607.
[19]
Ke L, Tong ZH, Ni HB, et al. The effect of intra-abdominal hypertension incorporating severe acute pancreatitis in a porcine model[J]. PLoS One, 2012, 7(3):e33125.
[20]
De Waele JJ, Leppäniemi AK. Intra-abdominal hypertension in acute pancreatitis[J]. World J Surg, 2009, 33(6):1128-1133.
[21]
Murtaza G, Pal KM, Jajja MR, et al. Intra abdominal hypertension; incidence, prevalence and outcomes in a mixed intensive care unit: prospective cohort study[J]. Int J Surg, 2015(19):67-71.
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