首页> 外文期刊>The Turkish journal of pediatrics >Fat necrosis of transverse colon and necrotizing pancreatitis in a patient with acute lymphoblastic leukemia (ALL): Cause of massive ascites and high fever
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Fat necrosis of transverse colon and necrotizing pancreatitis in a patient with acute lymphoblastic leukemia (ALL): Cause of massive ascites and high fever

机译:急性淋巴细胞白血病(ALL)患者的横结肠脂肪坏死和坏死性胰腺炎:大量腹水和高烧的原因

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摘要

We report a nine-year-old boy with acute lymphoblastic leukemia L3 (ALL-L3) and necrotizing pancreatitis in which necrosis was not limited to the pancreas. As our patient had a defective inflammatory process as a result of underlying malignant disease and neutropenia, the peripancreatic collection could not be limited and no pseudocyst was formed. In our patient, the unlimited inflammatory process and pancreatic secretions infiltrated the transverse mesocolon and transverse colon, leading to fat necrosis of the transverse colon, causing massive ascites and high fever. As there was no response to medical treatment, the success was achieved only by surgical resection. The infiltration of surrounding tissue and nearby organs by inflammation and fat necrosis in necrotizing pancreatitis has not been reported previously in a pediatric patient.
机译:我们报告了一个9岁的男孩,患有急性淋巴细胞白血病L3(ALL-L3)和坏死性胰腺炎,其中坏死不仅仅局限于胰腺。由于我们的患者由于潜在的恶性疾病和中性粒细胞减少症而导致炎症过程不良,因此不能限制胰周收集,并且不会形成假性囊肿。在我们的患者中,无限的炎症过程和胰腺分泌物渗透到横中结肠和横结肠,导致横结肠的脂肪坏死,引起大量腹水和高烧。由于对药物治疗无反应,仅通过手术切除即可取得成功。坏死性胰腺炎中炎症和脂肪坏死引起的周围组织和附近器官的浸润尚未在小儿患者中报道。

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