scholarly journals Superinfected splenic infarction as a rare complication of acute pancreatitis

2021 ◽  
Vol 44 (6) ◽  
pp. 540-542
Author(s):  
I Garrido Márquez ◽  
PV García Pérez ◽  
E Olmedo Sánchez
Keyword(s):  
Acute Pancreatitis ◽  
Rare Complication ◽  
Splenic Infarction

Resumen El infarto esplénico es una complicación rara presente en el 7% de las patologías inflamatorias pancreáticas. Existen tres posibles mecanismos patogénicos: una lesión vascular (trombosis venosa o espasmo vascular); compresión directa de los vasos o parénquima esplénicos por un pseudoquiste pancreático y la autodigestión tisular por liberación de enzimas proteolíticas. Su alta mortalidad hace que deba diagnosticarse y tratarse de forma precoz.

scholarly journals The Management of Multi-Site, Bleeding, Visceral Artery Pseudoaneurysms, Secondary to Necrotising Pancreatitis

2009 ◽  
Vol 91 (3) ◽  
pp. 255-258 ◽  
Author(s):  
J Skipworth ◽  
D Raptis ◽  
D Brennand ◽  
C Imber ◽  
A Shankar
Keyword(s):  
Acute Pancreatitis ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Enterocutaneous Fistula ◽  
Fistula Formation ◽  
Visceral Artery ◽  
Haemodynamic Instability ◽  
Successful Recovery ◽  
Necrotising Pancreatitis ◽  
Tomographic Angiography

We present the case of a 45-year-old man, who presented to his local casualty department with severe epigastric pain following an alcohol binge, and was subsequently diagnosed with acute pancreatitis. Pancreatic necrosis with multiple collections ensued, necessitating transfer to an intensive care unit (ITU) in a tertiary hepatopancreaticobiliary centre. Initially, the patient appeared to slowly improve and was discharged to the ward, albeit following a prolonged ITU admission. However, during his subsequent recovery, he suffered multiple episodes of haematemesis and melaena associated with haemodynamic instability and requiring repeat admission to the ITU. Computerised tomographic angiography, followed by visceral angiography, was used to confirm the diagnosis of multisite visceral artery pseudoaneurysms, secondary to severe, necrotising pancreatitis. Pseudoaneurysms of the splenic, left colic and gastroduodenal arteries were sequentially, and successfully, radiologically embolised over a period of 9 days. Subsequent sequelae of radiological embolisation included a clinically insignificant splenic infarct, and a left colonic infarction associated with subsequent enterocutaneous fistula formation. The patient made a prolonged, but successful, recovery and was discharged from hospital after 260 days as an in-patient. This case illustrates the rare complication of three separate pseudoaneurysms, secondary to acute pancreatitis, successfully managed radiologically in the same patient. This case also highlights the necessity for multidisciplinary involvement in the management of pseudoaneurysms, an approach that is often most successfully achieved in a tertiary setting.

Acute pancreatitis: A rare complication of acute hepatitis E

2011 ◽  
Vol 51 (3) ◽  
pp. 202-204 ◽  
Author(s):  
Cécile Deniel ◽  
Thierry Coton ◽  
Sarah Brardjanian ◽  
Michel Guisset ◽  
Elisabeth Nicand ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Acute Hepatitis ◽  
Rare Complication ◽  
Hepatitis E ◽  
Acute Hepatitis E

Case Report: Splenic Infarction in Infectious Mononucleosis due to Epstein–Barr Virus Infection

2021 ◽  
Author(s):  
Hiroaki Nishioka ◽  
Katsuma Hayashi ◽  
Hayato Shimizu
Keyword(s):  
Abdominal Pain ◽  
Infectious Mononucleosis ◽  
Epstein Barr Virus ◽  
Rare Complication ◽  
Clinical Syndrome ◽  
Splenic Infarction ◽  
Epstein Barr Virus Infection ◽  
Serological Tests ◽  
Barr Virus ◽  
Epstein Barr

Epstein–Barr virus (EBV) is the most common cause of infectious mononucleosis (IM) and IM is a clinical syndrome typically characterized by fever, pharyngitis, and cervical lymph node enlargement. We describe the case of a 19-year-old man with IM complicated by splenic infarction. The patient visited our hospital because of upper abdominal pain without a fever and sore throat. Abdominal computed tomography revealed a low-density area in the spleen, which indicated splenic infarction. The next day, he developed a fever. After diminishing abdominal pain and fever, he developed pharyngitis accompanied by fever. Acute EBV infection was confirmed by serological tests. The patient was successfully managed with no specific therapy. Splenic infarction is a rare complication of IM and this case showed that splenic infarction can precede a fever and pharyngitis.

Typhoid Fever with Acute Pancreatitis in a Five-Year-Old Child

2017 ◽  
Vol 13 (03) ◽  
pp. 240-241 ◽  
Author(s):  
Sumit Majumdar ◽  
Subroto Chakrabartty ◽  
Swati Chakravarti ◽  
Soumya Roy
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Preschool Children ◽  
Typhoid Fever ◽  
Rare Complication ◽  
Proper Management

AbstractTyphoid fever is very common in children, with abdominal pain occurring in 21% of patients. The occurrence of acute pancreatitis in typhoid is a rare complication, especially in preschool children. Knowledge of this condition is necessary for proper management, as well as to avoid unnecessary laparotomy. In this article, we describe the case of a 5-year-old girl who was diagnosed with this condition. She was managed conservatively with ceftriaxone and supportive measures, following which she had a completely recovery.

scholarly journals Acute Pancreatitis as the Initial Presentation of Systematic Lupus Erythematosus

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Yi Jia ◽  
Arleen Ortiz ◽  
Richard Mccallum ◽  
Hasan Salameh ◽  
Pedro Serrato
Keyword(s):  
Acute Pancreatitis ◽  
Lupus Erythematosus ◽  
Rare Case ◽  
Rare Complication ◽  
Gastrointestinal System ◽  
Initial Presentation ◽  
Multisystem Disease ◽  
Systematic Lupus Erythematosus

Systematic lupus erythematosus (SLE) is a multisystem disease, including the gastrointestinal system in about half of SLE patients. As a rare complication of SLE, acute pancreatitis presents as generalized flare-ups in most cases of patients previously diagnosed with SLE. Here we report a rare case of acute pancreatitis as the initial presentation with later diagnosis of SLE.

scholarly journals Acute Pancreatitis Secondary to Hemobilia after Percutaneous Liver Biopsy: A Rare Complication of a Common Procedure, Presenting in an Atypical Fashion

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Ramy Mansour ◽  
Justin Miller
Keyword(s):  
Acute Pancreatitis ◽  
Liver Biopsy ◽  
Rare Complication ◽  
Signs And Symptoms ◽  
Transcatheter Embolization ◽  
Percutaneous Liver Biopsy ◽  
Imaging Studies ◽  
Common Procedure ◽  
Elevated Alkaline Phosphatase ◽  
Negative Imaging

Percutaneous Liver Biopsy is an often-required procedure for the evaluation of multiple liver diseases. The complications are rare but well reported. Here we present a case of a 60-year-old overweight female who underwent liver biopsy for elevated alkaline phosphatase. She developed acute pancreatitis secondary to hemobilia, with atypical signs and symptoms, following the biopsy. She never had the classic triad of RUQ pain, jaundice, and upper GI hemorrhage. There were also multiple negative imaging studies, thus complicating the presentation. She was successfully treated with ERCP, sphincterotomy, balloon sweep, and stent placement. Angiography and transcatheter embolization were not required.

scholarly journals Rare complication of milk-alkali ingestion: severe pancreatitis and acute kidney injury in a chronic hypocalcaemic patient with DiGeorge’s syndrome

2019 ◽  
Vol 12 (3) ◽  
pp. e226761 ◽  
Author(s):  
Rajarshi Bhadra ◽  
Fareeha Ahmed Khan ◽  
Mona Soliman ◽  
Meyappan Somasundaram ◽  
Daniel V Iltchev ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Renal Dysfunction ◽  
Epigastric Pain ◽  
Calcium Supplementation ◽  
Rare Complication ◽  
Biliary Duct ◽  
Thiazide Diuretics ◽  
Prolonged Stay ◽  
Calcium Supplements ◽  
Severe Renal Dysfunction

Injudicious use of over-the-counter calcium supplements has resulted in increased incidences of hypercalcaemia and related complications. We present a case of acute pancreatitis in a chronic hypocalcaemic patient of DiGeorge’s syndrome. The patient came into the ED with sepsis syndrome, right upper quadrant and epigastric pain and no obvious source of infection. Lab results and imaging were indicative of acute pancreatitis. There was severe renal dysfunction. The patient needed haemodialysis and had a prolonged stay in intensive care. The medical history was negative for biliary duct pathology or alcohol use. The patient had vomiting and diarrhoea in the nursing home for about a week, but she continued to receive her regular medications that included the calcium supplements and thiazide diuretics. It is likely that a complex interplay between calcium supplementation, dehydration and thiazide diuretics resulted in the development of acute pancreatitis and severe renal dysfunction in a chronic hypocalcaemic patient.

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