Complete Obstruction of the Inferior Vena Cava due to Chronic Relapsing Pancreatitis : A Case Report
| Autor: | OHNO, TETSUYA, TAKABAYASHI, ARIMICHI, MAKI, ATSUHIKO, USUI, YUJI, TAKEUCHI, KATSUMI, KOHNO, SHIGENE |
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| Jazyk: | angličtina |
| Rok vydání: | 1994 |
| Předmět: | |
| Zdroj: | 日本外科宝函. 63(6):215-220 |
| ISSN: | 0003-9152 |
| Popis: | A woman aged 62 with long history of chronic relapsing pancreatitis presented with swelling and ulcer in the lower limbs and occasional gastrointestinal bleeding. The radiological imaging showed complete obstruction oflnferior Vena Cava (IVC) at the level of the pancreas and well developed collateral vessels. Portal vein and splenic vein were also obstructed and superior mesenteric venous blood drained into the liver via coronary vein. She was originally found to have pancreas head tumor, which was not resectable. A palliative operation was performed, but histological examination of pancreatic specimen suggested only chronic inflammation and no evidence of malignancy. She was diagnosed as tumor-forming type chronic pancreatitis. Although SPV or SMV-PV obstruction has been recognized as a complication of chronic pancreatitis, IVC obstruction can occur by the same mechanism. This is the only case but one ever reported. Not only splenoportography but IVC-graphy will contribute to more precise understanding of patient's condition with chronic pancreatitis. 切除不能な膵頭部癌の疑いで胃空腸吻合, 胆嚢空腸吻合を施工し, 病理組織診断で腫瘤形成性慢性膵炎と判明した症例が, いわゆる chronic relapsing pancreatitis の経過をとり, 慢性膵炎の憎悪にともない吐下血をくりかえし, 更に, 下肢の腫張と潰瘍を来した. 血管造影にて, 下大静脈の完全閉塞が認められ, 非常に稀な症例と考えられた. |
| Databáze: | OpenAIRE |
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