原发性肝癌合并胆道出血致急性胰腺炎1例  

Acute pancreatitis secondary to primary liver cancer with hemobilia:A case report and literature review

作　　者：庞慧芳[1] 覃华[1] 黎培员[1] 朱亮[1] 卢晓云[1] 徐胜南[1] 赵慧贞[1] 赵秋[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院消化内科,湖北省武汉市430030

出　　处：《世界华人消化杂志》2012年第14期1266-1269,共4页World Chinese Journal of Digestology

摘　　要：原发性肝癌可继发多种并发症,其中胆管癌栓临床上较少见,胆道出血及急性胰腺炎比较罕见.因此,通过报道该例患者的诊治经过,阐述原发性肝癌并胆管癌栓及其相关并发症的诊治进展.本研究认为内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)技术对于原发性肝癌合并胆管癌栓致胆道出血、急性胰腺炎患者的早期诊治具有重要价值,对于无法耐受手术的患者可结合肝动脉化疗栓塞(transcatheter hepatic arterial chemoem-bolization,TACE)治疗有效控制癌栓出血,从而有助于延长患者生存期以及改善生活质量.Primary liver cancer （PLC） may lead to many complications.The formation of bile tumor thrombi in the bile duct of patients with PLC is not a rare clinical condition;however,hemobilia and acute pancreatitis caused by bile duct thrombus formation in PLC patients are very rare.Here we report such a case in a 48-yearold female and perform a review of the literature on the diagnosis and treatment of this rare disorder.Endoscopic retrograde cholangiopancreatography （ERCP） and transcatheter hepatic arterial chemoembolization （TACE） are very important for the early diagnosis and treatment of this condition.

关 键 词：原发性肝癌 胆道出血 急性胰腺炎 内镜逆行胰胆管造影术 肝动脉化疗栓塞 

分 类 号：R735.7[医药卫生—肿瘤]