scholarly journals S1597 A Rare Presentation of Lemmel’s Syndrome as Acute Cholangitis With Acute Pancreatitis

2021 ◽  
Vol 116 (1) ◽  
pp. S719-S720
Author(s):  
Pooja D. Patel ◽  
Deepa Kumarjiguda ◽  
Monica Dzwonkowski ◽  
Ruchit Shah ◽  
Rouenne Seeley ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Acute Cholangitis ◽  
Rare Presentation ◽  
Lemmel’S Syndrome

A rare presentation of type 2 diabetes: diabetic ketoacidosis, acute pancreatitis, and hypertriglyceridaemia

2014 ◽  
Author(s):  
Abdulghani Al-Saeed ◽  
Ahmad Alobedallah ◽  
Ayman Al-Hayek ◽  
Sohail Inam ◽  
Rim Braham ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Acute Pancreatitis ◽  
Diabetic Ketoacidosis ◽  
Rare Presentation

scholarly journals Late Complications following Endoscopic Sphincterotomy for Choledocholithiasis: A Swedish Population-Based Study

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
A. Langerth ◽  
L. Brandt ◽  
A. Ekbom ◽  
B.-M. Karlson
Keyword(s):  
Acute Pancreatitis ◽  
Endoscopic Sphincterotomy ◽  
Acute Cholangitis ◽  
Common Bile Duct Stones ◽  
Population Based ◽  
Late Complications ◽  
Swedish Population ◽  
The Mean

In order to assess the risk of long-term complications following endoscopic sphincterotomy (ES) for common bile duct stones (CBDS), we conducted a cohort study. The study included 1,113 patients who underwent ES for CBDS in six different hospitals in central Sweden between 1977 and 1990. Through the use of the Swedish population registry, each patient was assigned five population-based controls matched for sex and age. Linkage to the Inpatient Registry yielded information on morbidity and mortality for the patients as well as for the controls. After one year of washout, there were 964 patients available for follow-up. The mean age was 70.6 years, 57% were women, and the mean length of follow-up was 8.9 years. The patients’ overall morbidity was significantly higher and we observed a tendency towards increased mortality as well. Recurrent CBDS was diagnosed in 4.1% of the patients. Acute cholangitis with a hazard ratio (HR) of 36 (95%CI 11–119.4) was associated with recurrent CBDS in 39% of the patients. HR for acute pancreatitis was 6.2 (95%CI 3.4–11.3) and only one patient had CBDS at the same time. In conclusion, we consider acute pancreatitis and cholangitis both as probable long-term complications after ES.

Lemmel’s Syndrome: An Uncommon Cause of Acute Cholangitis

2014 ◽  
Vol 109 ◽  
pp. S288
Author(s):  
Steven Gay ◽  
Owen Baldwin ◽  
Milton Smith
Keyword(s):  
Acute Cholangitis ◽  
Lemmel’S Syndrome

scholarly journals Pulmonary Lymphangitis Carcinomatosa and Acute Pancreatitis: A Rare Presentation of Choledochal Cyst

HPB Surgery ◽  
1999 ◽  
Vol 11 (3) ◽  
pp. 163-169
Author(s):  
D. M. Kelly ◽  
P. J. O'Donnell ◽  
E. R. Howard
Keyword(s):  
Acute Pancreatitis ◽  
Choledochal Cyst ◽  
Rare Presentation ◽  
Advanced Malignancy ◽  
Poorly Differentiated Adenocarcinoma ◽  
Healthy Young Woman ◽  
Autopsy Examination ◽  
Poorly Differentiated ◽  
Lymphangitis Carcinomatosa ◽  
Apparently Healthy

Pulmonary lymphangitis carcinomatosa is an unusal cause of death in a young adult. This case describes an apparently healthy young woman who presented with severe acute pancreatitis, which is a recognized complication of a choledochal cyst. Autopsy examination revealed advanced malignancy with poorly differentiated adenocarcinoma penetrating the wall of the choledochal cyst and metastatic adenocarcinoma in the lymph nodes, lungs and kidneys. This case emphasises the unusual presentation of a choledochal cyst with acute pancreatitis and the aggressive nature of malignancy associated with this congenital anomaly.

scholarly journals Nasopancreatic Drainage for 4 Patients during the Early Phase of Acute Pancreatitis

2021 ◽  
pp. 801-809
Author(s):  
Morihisa Hirota ◽  
Akinobu Koiwai ◽  
Atsuko Takasu ◽  
Keita Kawamura ◽  
Ryo Kin ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Pancreatic Duct ◽  
Early Phase ◽  
Acute Cholangitis ◽  
Biliary Stenting ◽  
Endoscopic Retrograde ◽  
Biliary Cannulation ◽  
Difficult Biliary Cannulation ◽  
Nasopancreatic Drainage ◽  
Difficult Cases

We encountered 4 patients with acute pancreatitis (AP) of various etiologies and coexisting acute cholangitis who underwent endoscopic biliary stenting (EBS) and nasopancreatic drainage (NPD) via endoscopic retrograde cholangiopancreatography (ERCP) during the early phase of AP. ERCP is performed to treat acute cholangitis even in the context of AP. However, in difficult cases, accidental contrast media injection or guidewire insertion into the pancreatic duct can happen during ERCP for the purpose of EBS. It is concerned that cannulation injury and increased pancreatic duct pressure can exacerbate existing AP. Because pancreatic guidewire-associated techniques were required for all of them due to difficult biliary cannulation, we performed a NPD catheter placement using the pancreatic guidewire to decompress the pancreatic duct to prevent further exacerbating AP. Surprisingly, all patients dramatically improved without systemic or local complications. NPD could be performed without any adverse events and did not worsen the course of AP. Early decompression of a pancreatic duct using NPD may rather improve AP that had already developed. Further prospective research is needed to confirm our observations.

scholarly journals Acute pancreatitis: a rare presentation of systemic lupuserythematous (SLE) in paediatric age group

2018 ◽  
Vol 5 (1) ◽  
pp. 43-45
Author(s):  
Dr. Vivek Parasher ◽  
◽  
Dr. Gaurav Dadhich ◽  
Dr. Rahul Khatri ◽  
Dr. Praveen Jhanwar ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Age Group ◽  
Rare Presentation ◽  
Paediatric Age

scholarly journals Rare presentation of acute pancreatitis in mild COVID-19

2021 ◽  
Vol 14 (11) ◽  
pp. e246720
Author(s):  
Brianna Hatch-Vallier ◽  
Vijay Jarodiya ◽  
Fadi Hawa ◽  
Rebecca Daniel
Keyword(s):  
Acute Pancreatitis ◽  
Liver Function ◽  
Epigastric Pain ◽  
Vital Signs ◽  
Pancreatic Injury ◽  
Direct Impact ◽  
Limited Data ◽  
Unique Case ◽  
Rare Presentation ◽  
Atypical Symptoms

Viral-induced pancreatitis has been well-defined; however, there are limited data regarding COVID-19 and pancreatitis. Most cases are commonly in conjunction with severe COVID-19 as well as lipase elevation. We describe a unique case of mild SARS-CoV-2 infection resulting in acute pancreatitis in the absence of lipase elevation. A 39-year-old patient with no medical history, presented with epigastric pain. Vital signs were unremarkable. Patient was positive for COVID-19. Liver function panel, calcium, triglyceride and lipase levels were all unremarkable. CT of the abdomen demonstrated acute pancreatitis without gallstones. Our case may indicate that pancreatic injury in SARS-CoV-2 infection is due to a direct impact on the pancreas by the virus, given the absence of lipase elevation and mild presentation. This case highlights the importance of suspecting pancreatitis in mild COVID-19 that present with atypical symptoms such as epigastric pain, even without lipase elevation.

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