Pacreatititis induced pseudoaneurysm of splenic artery: an unusual cause of gastrointestinal bleeding

Acute or chronic pancreatitis can cause pseudoaneurysm of visceral arteries. The splenic artery is the most common to get affected. Here, we report a case of acute pancreatitis with pseudoaneurysm of the splenic artery. A 40 year old male, a chronic alcoholic with a known history of acute pancreatitis, presented with acute abdominal pain, haematemesis, and melena. Diagnosis of pseudoaneurysm of splenic artery was confirmed by computed tomography abdomen. The endovascular coil embolization was done successfully, following which the patient made an uneventful recovery

Download Full-text

Ceftriaxone-Induced Acute Pancreatitis

Annals of Pharmacotherapy ◽

10.1177/106002809302700108 ◽

1993 ◽

Vol 27 (1) ◽

pp. 36-37 ◽

Cited By ~ 18

Author(s):

Anthony E. Zimmermann ◽

Brian G. Katona ◽

Joginder S. Jodhka ◽

Richard B. Williams

Keyword(s):

Acute Pancreatitis ◽

Abdominal Pain ◽

Acute Abdominal Pain ◽

Signs And Symptoms ◽

Etiologic Agent ◽

Antibiotic Regimen ◽

Intravenous Injections ◽

Case Summary ◽

Catheter Sepsis ◽

History Of

OBJECTIVE: To report a case of probable ceftriaxone-induced acute pancreatitis. CASE SUMMARY: A patient with a history of short-bowel syndrome on home total parenteral nutrition developed fever, chills, and right flank pain. She was diagnosed with gram-negative catheter sepsis and prescribed antibiotic therapy to be administered for four weeks. After completion of the first week of therapy, the antibiotic regimen was changed to intravenous injections of ceftriaxone to be given daily at home. Prior to discharge the patient developed acute abdominal pain, leukocytosis, jaundice, and markedly elevated lipase and amylase concentrations consistent with acute pancreatitis. The patient's condition improved upon discontinuation of the ceftriaxone and the remainder of her stay was uneventful. DISCUSSION: There is only one other case report in the literature of probable ceftriaxone-induced pancreatitis. Multiple other medications have been implicated in causing acute pancreatitis. The exact mechanism of this uncommon adverse effect of ceftriaxone is unknown. CONCLUSIONS: There was a temporal relationship between the development of this patient's signs and symptoms and the administration of ceftriaxone. We could not identify any other factors that may have been responsible for the development of her acute pancreatitis. Ceftriaxone should be considered as a possible etiologic agent in patients who present with acute abdominal pain and elevated lipase and amylase concentrations.

Download Full-text

Computed Tomography Imaging in Lemmel Syndrome: A Report of Two Cases

Journal of Clinical Imaging Science ◽

10.25259/jcis-17-2019 ◽

2019 ◽

Vol 9 ◽

pp. 23

Author(s):

Giulia Frauenfelder ◽

Annamaria Maraziti ◽

Vincenzo Ciccone ◽

Giuliano Maraziti ◽

Oliviero Caleo ◽

...

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Bile Duct ◽

Common Bile Duct ◽

Acute Abdominal Pain ◽

Imaging Modality ◽

Biliary Duct ◽

History Of ◽

The Common ◽

Solid Lesions

Lemmel syndrome is a rare and misdiagnosed cause of acute abdominal pain due to a juxtapapillary duodenal diverticulum causing mechanical obstruction of the common bile duct. Frequently, patients suffering from Lemmel syndrome have a history of recurrent access to the emergency room for acute abdominal pain referable to a biliopancreatic obstruction, in the absence of lithiasis nuclei or solid lesions at radiological examinations. Ultrasonography (US) may be helpful in evaluation of upstream dilatation of extra-/intra-hepatic biliary duct, but computed tomography (CT) is the reference imaging modality for the diagnosis of periampullary duodenal diverticula compressing the intrapancreatic portion of the common bile duct. Recognition of this entity is crucial for targeted, timely therapy avoiding mismanagement and therapeutic delay. The aim of this paper is to report CT imaging findings and our experience in two patients affected by Lemmel syndrome.

Download Full-text

Acute Pancreatitis Coincided with Multiple Arteriolar Aneurysms in a Patient with Polyarteritis Nodosa

Modern Rheumatology Case Reports ◽

10.1093/mrcr/rxab052 ◽

2021 ◽

Author(s):

Ko Takamatsu ◽

Yasuyoshi Kusanagi ◽

Hideyuki Horikoshi ◽

Takashi Nakanishi ◽

Akinori Wada ◽

...

Keyword(s):

Septic Shock ◽

Weight Loss ◽

Acute Pancreatitis ◽

Abdominal Pain ◽

Severe Acute Pancreatitis ◽

Disseminated Intravascular Coagulation ◽

Polyarteritis Nodosa ◽

Acute Abdominal Pain ◽

Necrotizing Vasculitis ◽

History Of

Abstract A 78-year-old man presented to our hospital with a history of 10kg weight loss within 6 months previously, and general fatigue and fever for 2 and 1 months, respectively. On hospitalization, the patient was diagnosed with polyarteritis nodosa after multiple microaneurysms were observed in the liver, kidney, pancreas, and mesenteries. He achieved remission with the administration of 1,000mg methylprednisolone for 3 days, followed by prednisolone (55mg/day). Steroids were successfully tapered with no re-elevation in inflammation. Two months after the administration of steroids, the patient complained of acute abdominal pain, and developed severe acute pancreatitis. During treatment for pancreatitis, the patient died due to septic shock and disseminated intravascular coagulation. An autopsy revealed necrotizing vasculitis in the intrapancreatic arteries and ischemia of the downstream arterioles resulting in acute pancreatitis.

Download Full-text

Acute pancreatitis in children

Medicinski pregled ◽

10.2298/mpns1202069j ◽

2012 ◽

Vol 65 (1-2) ◽

pp. 69-71

Author(s):

Radoica Jokic ◽

Pavle Milosevic

Keyword(s):

Computed Tomography ◽

Acute Pancreatitis ◽

Abdominal Pain ◽

Acute Abdominal Pain ◽

Clinical Findings ◽

Rational Approach ◽

C Reactive Protein ◽

Reactive Protein ◽

Ultrasound Computed Tomography ◽

Serious Disease

Introduction. Acute pancreatitis in children is mostly due to abdominal trauma, diseases or congenital anomalies of the biliary-pancreatic tree. Both exogenous and endogenous functions of the gland could be disturbed by various levels of damage. Clinical Finding and Diagnostics. Acute abdominal pain, gastrointestinal signs and general deterioration are the main clinical findings. The examination can be completed by blood and urine tests of amylase, electrolytes level, and the C-reactive protein. In addition to these tests, ultrasound, computed tomography and endoscopy are required as well. Therapeutic Methods. The therapy of choice is non-operative treatment using medicaments to control the pain, decrease the pancreatic activity and prevent further complications. If the conservative treatment fails, the surgical approach is necessary: drainage, resections, by-pass procedures, etc. Conclusion. Acute pancreatitis is a very serious disease in childhood. Clinical experience and rational approach are very important in the diagnostic and therapeutic methods.

Download Full-text

Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

The Heart Surgery Forum ◽

10.1532/hsf.1322 ◽

2015 ◽

Vol 18 (3) ◽

pp. 088

Author(s):

Ye-tao Li ◽

Xiao-bin Liu ◽

Tao Wang

Keyword(s):

Abdominal Pain ◽

Infective Endocarditis ◽

Aortic Valve ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Mycotic Aneurysm ◽

Acute Abdominal Pain ◽

Rare Complication ◽

Emergency Operation ◽

History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

Download Full-text

Approach to the Patient with Abdominal Pain

10.2310/em.4052 ◽

2020 ◽

Author(s):

Dana Sajed

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Chronic Conditions ◽

Acute Abdominal Pain ◽

Point Of Care ◽

Abdominal Ultrasonography ◽

Pediatric Populations ◽

Ed Visits ◽

Point Of Care Ultrasonography

Abdominal pain is the most common presenting complaint in the emergency department (ED), accounting for nearly 8% of ED visits. Although many chronic conditions may cause pain in the abdomen, acute abdominal pain, defined as undiagnosed pain present for less than 1 week, is of greatest concern to the emergency practitioner. For many reasons, acute abdominal pain is often diagnostically challenging. Abdominal pain may be due to numerous causes, including gastrointestinal, genitourinary, cardiovascular, pulmonary, and other sources. Symptoms may fluctuate or change in nature, and the quality of pain can be difficult for the patient to describe. Physical examination findings, although important, are variable and can even be misleading. Despite being such a common presenting complaint, misdiagnosis is not uncommon and results in a high percentage of medicolegal actions in both and adult and pediatric populations. This review contains 5 figures, 8 tables, and 92 references Key words: abdominal computed tomography, abdominal pain, abdominal ultrasonography, pain management, point-of-care ultrasonography

Download Full-text

A Case of Acute Hepatitis E Complicated by Acute Pancreatitis in Eastern India

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v12i2.513 ◽

2020 ◽

Vol 12 (2) ◽

Author(s):

Rudrajit P ◽

Shubhabrata D ◽

Sourav P ◽

Partha SC ◽

Jayati M ◽

...

Keyword(s):

Acute Pancreatitis ◽

Abdominal Pain ◽

Acute Hepatitis ◽

Viral Hepatitis ◽

Hepatitis A ◽

Young Male ◽

Hepatitis E ◽

Uneventful Recovery ◽

Eastern India ◽

Acute Hepatitis E

Viral hepatitis may be occasionally associated with acute pancreatitis. Usually the patient presents with abdominal pain in the second or third week of illness. Hepatitis A or E viruses are mostly implicated. HEV related acute pancreatitis was first reported only 12 years ago. We report a case of a young male presenting with acute Hepatitis E infection complicated by pancreatitis. He had an uneventful recovery. This is probably the first report of this association from Eastern India.

Download Full-text