Mr. Huang and his wife in Guangxi Baise have been working in Guangdong for many years, usually like to drink a little wine, more than 20 days ago at dinner, he and usually came two sips of small wine, who knew that at night suddenly felt severe pain in the upper abdomen, sweating, eating everything also spit out.
His wife quickly called an ambulance and took him to the nearest tertiary hospital to his home. Finally, after examination, acute pancreatitis was diagnosed, and the doctor arranged for him to be hospitalized. However, after more than 20 days of treatment, the condition not only did not improve, but his stomach also became bulging, and he felt that the swelling and pain were severe when he ate something, which made Mr. Huang feel very distressed.
After re-examination, it was found that pancreatitis had formed a pancreatic pseudocyst, which was constantly enlarging, and had flattened the stomach and pushed it to the abdominal wall. The local hospital recommended that he go to Guangzhou for treatment.
Patients undergo preoperative ct scan
At the moment of their hesitation, by chance, Mr. Huang and his wife inadvertently learned from relatives that we had successfully treated severe pancreatitis, and after thinking about it for a long time, they took a train from Guangdong to my place overnight for treatment.
Because Mr. Huang's relatives have sent me CT from Guangdong Hospital in advance. At the first time after Mr. Huang was admitted to the hospital in the early morning, he urgently checked his blood routine, amylase, lipase, etc., and the doctor on duty gave anti-infection and anti-enzyme treatment according to abnormal indicators.
The next day, I performed a CT-guided pancreatic pseudocyst puncture and drainage for Mr. Huang.
Rothven attending physician operation screen
After successful catheterization, the drainage tube is in place
On the third day after the operation, Mr. Huang's abdominal distension and pain improved significantly, and the corresponding indicators improved significantly. Mr. Huang, who has been hungry for more than 20 days, can't help but ask: "Doctor, can you eat something?" I replied affirmatively, "Yes!" ”
After follow-up consolidation therapy, a total of one week of hospitalization, Mr. Huang was successfully discharged from the hospital on April 25. According to the doctor's advice, Mr. Huang will return to the hospital for a follow-up consultation after one month to assess whether to remove the drainage tube.
Popular science extension
Acute pancreatitis: a common acute abdomen, obesity, hyperlipidemia, alcohol consumption, and biliary stone infection are common causes of acute pancreatitis. Acute pancreatitis often presents with acute epigastric pain because the pancreas is close to the stomach and needs to be distinguished from stomach pain. At the same time, pancreatitis may be accompanied by vomiting, fever and other manifestations. Diagnosis can be made by combining amylase, lipase, blood routine, and epigastric CT. Requires emergency treatment.
Pancreatic pseudocysts: often formed 4 weeks after the onset of "interstitial or edematous pancreatitis". Pseudocysts are like a balloon, because inflammation secretes cause the fluid in the capsule to increase, resulting in a growing cyst. This compresses other organs in the abdominal cavity, resulting in persistent abdominal distention and abdominal pain.
Pancreatic pseudocysts generally choose laparoscopic internal drainage surgery 3 months after formation (this procedure is currently carried out at the maturity of the Hepatobiliary Pancreatic and Spleen Hernia Surgery Department in our hospital). Laparoscopic surgery is relatively less traumatic and the treatment is good.
As in Mr. Huang's case, pseudocysts have a short time to form, symptoms persist, and conservative treatment does not improve, and percutaneous puncture catheter drainage can be selected.
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This article is original by [Dr. Luo Health Said], the author is a member of the Chinese Anti-Cancer Association, a member of the Health Communication Working Committee of the Chinese Medical Doctor Association, a health science writer, welcome to forward, comment, like, or private message with me, thank you very much!