Two rare pancreatic parenchymal hemorrhagic lesions associated with acute pancreatitis in acute liver failure: a case report and literature review

被引：1

作者：

Jimbo, Ryo ^{[1
,2
]}

Arao, Yoshihisa ^{[1
]}

Tsuchiya, Atsunori ^{[1
]}

Yamazaki, Hanako ^{[1
]}

Mito, Masaki ^{[1
]}

Kojima, Yuichi ^{[1
]}

Kobayashi, Yuji ^{[2
]}

Kimura, Naruhiro ^{[1
]}

Hayashi, Kazunao ^{[1
]}

Terai, Shuji ^{[1
]}

机构：

[1] Niigata Univ, Grad Sch Med & Dent Sci, Div Gastroenterol & Hepatol, 1-757 Asahimachi Dori,Chuo Ku, Niigata 9518510, Japan

[2] Nagaoka Red Cross Hosp, Div Gastroenterol, Nagaoka, Japan

来源：

CLINICAL JOURNAL OF GASTROENTEROLOGY | 2023年 / 16卷 / 02期

关键词：

Pancreatic hemorrhage; Acute pancreatitis; Acute liver failure; Hepatitis B virus; Multiple organ failure; HEPATITIS-B-VIRUS; ACUTE NECROTIZING PANCREATITIS; VIRAL-HEPATITIS; INFECTION; MANIFESTATION; EXACERBATION; TRANSPLANT; MANAGEMENT; EFFICACY;

D O I：

10.1007/s12328-022-01738-x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Acute pancreatitis is an uncommon occurrence in acute liver failure. Furthermore, such cases are rarely complicated by parenchymal hemorrhages. Herein, we report the case of a 69-year-old male patient with multiple pancreatic parenchymal hemorrhages concomitant with acute liver failure. The patient underwent conservative treatment for acute liver failure caused by hepatitis B virus infection. Plain computed tomography on the 30th day revealed two high-density mass lesions in the pancreatic body and tail, which were suspected to be multiple pancreatic parenchymal hemorrhages. Despite restarting gabexate mesylate, the patient died of multiple organ failure on the 49th day. The clinical information of the present case and our literature review of 61 similar cases in 43 case reports identified via a systematic keyword search of the PubMed database, which described acute pancreatitis concomitant with acute hepatitis and acute liver failure, will aid physicians in the diagnosis and treatment of this rare condition.

引用

页码：254 / 262

页数：9

共 58 条

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