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复杂的胰腺炎:一种罕见的脊柱侧凸手术后并发症——芭芭拉Dolaszynska——纽卡斯尔大学

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急性和慢性胰腺炎后脊柱侧凸矫正手术前已报告作为一种罕见的并发症。许多假说被提出之前,其中一个提议直接创伤,其他包括波浪产生的高速钻孔。要面向脊柱手术后也猜测。在所有的病例有一个元素显示这些假设。在这种情况下,没有证据表明胰腺炎引起的脊柱手术。14岁女孩承认为脑瘫选择性脊柱侧凸手术后病人的不适,与c反应蛋白(CRP)和日益膨胀的腹部。腹部的CT表现并显示一些自由流体但没有自由气体。诊断性腹腔镜进行保守治疗的失败。这显示广泛的右侧结肠炎症,附着到肠道,导致剖腹手术和扩展部分结肠切除术和回肠造口术的形成。病理样本发送显示胰腺炎的表现。 The histology macroscopy report of the biopsy samples showed congested and oedematous serosa with adhesions and patchy fibrinopurulent exudate extending along almost the entire length of the specimen (right hemicolectomy). Imaging reviewed and revealed that the pancreas and transverse colon is a long way away from the spine or trajectory of the screws. Spinal fusion for severe neuromuscular scoliosis is a difficult procedure, with a high rate of complications. Among them, pancreatitis should be considered when abdominal pain persists in the postoperative period. Early diagnosis and management would always improve the outcome in such cases.

芭芭拉Dolaszynska和穆罕默德Eltayeb

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