Acute pancreatitis with pulmonary embolism:A case report  

作　　者：Xue-Ling Fu Fa-Ke Liu Ming-Dong Li Chang-Xue Wu 

机构地区：[1]Emergency Intensive Care Unit,The Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan Province,China [2]Department of Critical Care Medicine,The Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan Province,China [3]Department of Radiology,The Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan Province,China

出　　处：《World Journal of Clinical Cases》2021年第4期904-911,共8页世界临床病例杂志

基　　金：Supported by Sichuan Provincial Health Department Fund,No.17PJ396.

摘　　要：BACKGROUND Acute pancreatitis(AP)is a common critical disease of the digestive system that is often associated with multiple complications.Vascular complications are relatively rare and are one of the causes of death.AP complicated with pulmonary embolism(PE)is even rarer,and there are no reports of AP complicated with PE in elderly patients.CASE SUMMARY We describe a rare case of AP complicated with PE and review the literature.A 68-year-old woman was diagnosed with AP due to widespread abdominal pain.During the course of treatment,the patient had shortness of breath and progressively worsening dyspnea without chest pain or hemoptysis with a progressive increase in D-dimer and fibrin degradation product.Respiratory failure and right heart failure occurred,and refractory hypoxemia remained after mechanical ventilation.Plain chest computed tomography revealed a small amount of left pleural effusion and external pressure atelectasis in the lower lobe of the left lung but no findings that could lead to refractory hypoxemia.Color Doppler ultrasound indicated pulmonary hypertension and extensive venous thrombosis in the lower extremities.Chest computed tomography angiography finally suggested pulmonary thromboembolism.The patient’s dyspnea symptoms disappeared after anticoagulation treatment.CONCLUSION During the diagnosis and treatment of AP,it is necessary to dynamically monitor D-dimer and consider PE.

关 键 词：Acute pancreatitis Pulmonary embolism Vein thrombosis D-DIMER DIAGNOSIS Case report 

分 类 号：R576[医药卫生—消化系统] R563.5[医药卫生—内科学]