内镜治疗食管胃底静脉曲张并发脾梗死及反复腹腔感染1例报告

马佳丽; 何玲玲; 蒋煜; 魏红山; 李坪

doi:10.3969/j.issn.1001-5256.2022.09.030

内镜治疗食管胃底静脉曲张并发脾梗死及反复腹腔感染1例报告

DOI: 10.3969/j.issn.1001-5256.2022.09.030

首都医科大学附属北京地坛医院消化内科，北京 100015

基金项目:

首都临床特色应用研究 (Z141107002514132);

北京市医院管理中心消化内科学科协同发展中心专项 (XXZ0404)

伦理学声明：本例报告已获得患者知情同意。

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：李坪、魏红山对研究的思路及设计有关键贡献；何玲玲、蒋煜参与了数据获取及搜集；马佳丽参与设计，撰写文章及修改文章关键内容。

详细信息

通信作者:
李坪，enlp@ccmu.edu.cn

计量
- 文章访问数: 336
- HTML全文浏览量: 76
- PDF下载量: 35
- 被引次数: 0
出版历程
- 收稿日期: 2022-01-29
- 录用日期: 2022-02-28
- 出版日期: 2022-09-20

Splenic infarction and repeated abdominal infection after endoscopic therapy for esophagogastric varices

Department of Gastroenterology, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China

Research funding:

Capital Foundation for Clinical Characteristic Applied Research Projects (Z141107002514132);

The Digestive Medical Coordinated Development Center of Beijing Hospitals Authority (XXZ0404)

More Information

Corresponding author: LI Ping, enlp@ccmu.edu.cn(ORCID: 0000-0003-4579-7984)

摘要

- 食管和胃静脉曲张 /
- 内窥镜检查 /
- 脾梗死 /
- 腹腔内感染
- Esophageal and Gastric Varices /
- Endoscopy /
- Splenic Infarction /
- Intraabdominal Infections

HTML全文

图 1 胃底静脉曲张内镜治疗过程

注：a，2018年2月因活动性胃底渗血行组织胶注射治疗；b，2019年10月胃底静脉曲张呈治疗后改变；c，2021年9月末次治疗过程中出现出血，予组织胶注射治疗后出现脾梗死。

Figure 1. Endoscopic therapy for gastric varices

下载: 全尺寸图片幻灯片

图 2 患者脾梗死前后CT门静脉成像

注：a，脾梗死前未见异常门体分流；b，脾梗死后2 d；c，脾梗死后2个月。

Figure 2. CT portal venography before and after splenic infarction

下载: 全尺寸图片幻灯片

参考文献(14)

[1]	AL-BAWARDY B, GOROSPE EC, SALEEM A, et al. Outcomes and predictors of rebleeding after 2-octyl cyanoacrylate injection in acute gastric variceal hemorrhage[J]. J Clin Gastroenterol, 2016, 50(6): 458-463. DOI: 10.1097/MCG.0000000000000487.
[2]	Chinese Society of Hepatology, Chinese Medical Association; Chinese Society of Gastroenterology, Chinese Medical Association; Chinese Society of Endoscopy, Chinese Medical Association. Guidelines for the diagnosis and treatment of esophageal and gastric variceal bleeding in cirrhotic portal hypertension[J]. J Clin Hepatol, 2016, 32(2): 203-219. DOI: 10.3969/j.issn.1001-5256.2016.02.002. 中华医学会肝病学分会, 中华医学会消化病学分会, 中华医学会内镜学分会. 肝硬化门静脉高压食管胃静脉曲张出血的防治指南[J]. 临床肝胆病杂志, 2016, 32(2): 203-219. DOI: 10.3969/j.issn.1001-5256.2016.02.002.
[3]	ZHAO Y, WANG S, LI C, et al. Synchronous hybrid procedure combining interventional radiology and endoscopy for esophagogastric varices with large gastro-renal shunt[J]. Medicine (Baltimore), 2020, 99(17): e19727. DOI: 10.1097/MD.0000000000019727.
[4]	ZHANG M, LI P, MOU H, et al. Clip-assisted endoscopic cyanoacrylate injection for gastric varices with a gastrorenal shunt: a multicenter study[J]. Endoscopy, 2019, 51(10): 936-940. DOI: 10.1055/a-0977-3022.
[5]	KÖKSAL AS, KAYAÇETIN E, TORUN S, et al. Splenic infarction after N-butyl-2-cyanoacrylate injection for gastric varices: why does it happen?[J]. Surg Laparosc Endosc Percutan Tech, 2013, 23(5): e191-e193. DOI: 10.1097/SLE.0b013e318272fd1e.
[6]	RYAN BM, STOCKBRUGGER RW, RYAN JM. A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices[J]. Gastroenterology, 2004, 126(4): 1175-1189. DOI: 10.1053/j.gastro.2004.01.058.
[7]	WILKINS BS. The spleen[J]. Br J Hematol, 2002, 117: 265-274. DOI: 10.1046/j.1365-2141.2002.03425.x.
[8]	YU LK, HSU CW, TSENG JH, et al. Splenic infarction complicated by splenic artery occlusion after N-butyl-2-cyanoacrylate injection for gastric varices: case report[J]. Gastrointest Endosc, 2005, 61(2): 343-345. DOI: 10.1016/s0016-5107(04)02583-0.
[9]	MU C, LIU YD, SUN GH, et al. Tissue glue injection for gastric varices complicated with hepatic and splenic embolism: a case report[J]. Mod Digest Interv, 2012, 17(4): 245-246. DOI: 10.3969/j.issn.1672-2159.2012.04.021. 穆晨, 刘迎娣, 孙国辉, 等. 胃底静脉曲张组织胶治疗并发肝脾栓塞1例报告[J]. 现代消化及介入诊疗, 2012, 17(4): 245-246. DOI: 10.3969/j.issn.1672-2159.2012.04.021.
[10]	SERIO B, PEZZULLO L, GIUDICE V, et al. OPSI threat in hematological patients[J]. Transl Med UniSa, 2013, 6: 2-10.
[11]	TAHIR F, AHMED J, MALIK F. Post-splenectomy sepsis: a review of the literature[J]. Cureus, 2020, 12(2): e6898. DOI: 10.7759/cureus.6898.
[12]	JIANG HC, QIAO HQ, XIA SS. Fifty years of splenic surgery in China[J]. Chin J Surg, 1999, 37(10): 587-588. DOI: 10.3760/j:issn:0529-5815.1999.10.004 姜宏池, 乔海泉, 夏穗生. 我国脾脏外科五十年进展[J]. 中华外科杂志, 1999, 37(10): 587-588. DOI: 10.3760/j:issn:0529-5815.1999.10.004
[13]	GUPTA AK, VAZQUEZ OA. Overwhelming post-splenectomy infection syndrome: variability in timing with similar presentation[J]. Cureus, 2020, 12(8): e9914. DOI: 10.7759/cureus.9914.
[14]	IM JH, CHUNG MH, LEE HJ, et al. Splenic infarction and infectious diseases in Korea[J]. BMC Infect Dis, 2020, 20(1): 915. DOI: 10.1186/s12879-020-05645-9.