巨大肝血管瘤栓塞术后的坏死性胰腺炎

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2024-08-22 eCollection Date: 2024-08-01 DOI:10.14309/crj.0000000000001471

Ayesha Khan, Julia Hawes, Julia Zhang, Ahmed Khan, Karen Szauter, Maryamnaz Falamaki, Michael L Kueht, Luca Cicalese, Sreeram Parupudi

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引用次数: 0

摘要

肝脏栓塞术是治疗肝脏病变的常见方法。栓塞术可以只使用栓塞材料，也可以与化疗药物一起使用。肝脏栓塞术后不常见的并发症包括肺血栓栓塞、肝梗塞、肝脓肿、肝衰竭、缺血性胆道狭窄，以及较少见的胰腺损伤（发生率为 1.7%）。我们描述了一例大肝脏血管瘤愠怒栓塞后发生坏死性胰腺炎的病例。肝脏栓塞术后急性胰腺炎的确切机制尚不确定，但直接缺血机制、抗肿瘤药物的毒性作用和所用栓塞球的体积被认为是其中的一个因素。

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Necrotizing Pancreatitis After Bland Embolization of a Large Hepatic Hemangioma.

Liver embolization is a common procedure for management of liver lesions. Embolization can be performed using only an embolic material or along with chemotherapy agents. Infrequent complications seen postliver embolization include pulmonary thromboembolism, hepatic infarct, liver abscess, liver failure, ischemic biliary strictures, and less frequently pancreatic damage (incidence of 1.7%). We describe a case of necrotizing pancreatitis after bland embolization of a large hepatic hemangioma. The exact mechanisms of acute pancreatitis after liver embolization are uncertain, although direct ischemic mechanisms, toxic effects of antineoplastic agents, and volume of embospheres used are believed to play a role.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.