Acute pancreatitis after spine surgery: A case report and review of literature

被引：11

作者：

Tauchi R. ^{[1
]}

Imagama S. ^{[1
]}

Ito Z. ^{[1
]}

Ando K. ^{[1
]}

Hirano K. ^{[2
]}

Ukai J. ^{[1
]}

Kobayashi K. ^{[1
]}

Shinjo R. ^{[1
]}

Muramoto A. ^{[1
]}

Nakashima H. ^{[1
]}

Matsumoto T. ^{[1
]}

Ishiguro N. ^{[1
]}

机构：

[1] Department of Orthopaedic Surgery, Nagoya University, Graduate School of Medicine, Showa-ku, Nagoya 4668550

[2] Department of Orthopaedic Surgery, Nagoya Daiichi Red Cross Hospital, Nagoya

来源：

European Journal of Orthopaedic Surgery & Traumatology | 2014年 / 24卷 / Suppl 1期

关键词：

Pancreatitis; Review; Spine surgery;

D O I：

10.1007/s00590-013-1390-z

中图分类号：

学科分类号：

摘要：

Although acute postoperative pancreatitis is a relatively frequent complication after open biliary tract surgery and gastric surgery, acute pancreatitis after spine surgery is a rare complication. We report the first case of acute pancreatitis after posterior lumbar interbody fusion (PLIF) for spondylolisthesis that resolved with conservative treatment. A 53-year-old female patient received a PLIF from L3 to L5. The patient presented with persistent mild abdominal pain, nausea and vomiting several hours after the surgery. An abdominal CT revealed swelling of the head of the pancreas and free fluid around the pancreas. A gastroenterologist diagnosed acute pancreatitis and prescribed nafamostat mesilate, antibiotics and intravenous fluid therapy. The patient recovered gradually, and clinical symptoms disappeared. At 6 months after the operation, she had experienced no recurrence of abdominal symptoms, and solid spinal fusion was achieved. In previous studies, acute pancreatitis was reported as a complication after spine surgery for various spine diseases such as scoliosis and lumbar disorders. The procedures performed included anterior/posterior scoliosis surgery and anterior/posterior lumbar fusion surgery. We must consider the possibility of acute pancreatitis when unusual abdominal symptoms with elevated serum amylase levels occur after spine surgery. Prompt diagnosis and supportive therapy are essential to minimize morbidity and mortality. © 2013 Springer-Verlag France.

引用

页码：S305 / S309

页数：4

共 22 条

[1]

Ponka J.L., Landrum S.E., Chaikof L., Acute pancreatitis in the postoperative patient, Arch Surg, 83, pp. 475-490, (1961)

[2]

White M.T., Morgan A., Hopton D., Postoperative pancreatitis. A study of seventy cases, Am J Surg, 120, pp. 132-137, (1970)

[3]

White T.T., Morgan A., Hopton D., Postoperative pancreatitis: A study of seventy cases, Am J Surg, 120, 2, pp. 132-137, (1970)

[4]

Ohri S.K., Desai J.B., Gaer J.A., Roussak J.B., Hashemi M., Smith P.L., Taylor K.M., Intraabdominal complications after cardiopulmonary bypass, Ann Thorac Surg, 52, pp. 826-831, (1991)

[5]

Thompson J.S., Bragg L.E., Hodgson P.E., Rikkers L.F., Postoperative pancreatitis, Surg Gynecol Obstet, 167, pp. 377-380, (1988)

[6]

Drissi M., Madani M., Hatim A., Ibat D., Athmani M., Taberkant M., Houssa M.A., Alaoui M., Boulahya A., Severe acute pancreatitis after surgical treatment of a ruptured abdominal aortic aneurysm, Ann Vasc Surg, 23, (2009)

[7]

Leichtner A.M., Banta J.V., Etienne N., Schwartz A.N., Renshaw T.S., Solari L.D., Ascione J., Hyams J.S., Pancreatitis following scoliosis surgery in children and young adults, J Pediatr Orthop, 11, pp. 594-598, (1991)

[8]

Curtin W.A., Lahoti O.P., Fogarty E.E., Dowling F.E., Regan B.F., Drumm B., Pancreatitis after alar-transverse fusion for spondylolisthesis. A case report, Clin Orthop Relat Res, 292, pp. 142-143, (1993)

[9]

Korovessis P.G., Stamatakis M., Baikousis A., Relapsing pancreatitis after combined anterior and posterior instrumentation for neuropathic scoliosis, J Spinal Disord, 9, pp. 347-350, (1996)

[10]

Rajaraman V., Heary R.F., Livingston D.H., Acute pancreatitis complicating anterior lumbar interbody fusion, Eur Spine J, 9, pp. 171-173, (2000)

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