Acute pancreatitis (AP) is a potential life-threatening disease, which originates from inflammatory involvement of the pancreas and surrounding tissues. Serious complications eventuate and treatment is difficult. AP is classified in both interstitial edematous pancreatitis, which occurs in 70-80% of patients, and necrotizing pancreatitis, which occurs in 20-30% of patients. Diagnosis is based on the presence of two of the following criteria: abdominal pain, increased serum determination of amylase and/or lipase more than three times the reference value, and characteristic tomographic findings. Among the latter, there is the pancreatic and surrounding tissue damage as well as that related to distant organ involvement. This case report shows the fatal case of a male patient with a history of heavy alcoholic abuse admitted with the diagnosis of necrotizing pancreatitis. The authors call attention to the unusual tomographic findings; namely, a huge duodenal hematoma and a large hemoperitoneum, ischemic involvement of the spleen and kidneys, as well as pancreatic and peripancreatic necrosis.
BollenTL, SinghVK, MaurerR, et al. Comparative evaluation of the modified CT severity index and CT severity index in assessing severity in acute pancreatitis. AJR Am J Roentgenol. 2011;197(2):386-92. http://dx.doi.org/ [https://doi.org/10.2214/AJR.09.4025].
BalthazarEJ. Acute pancreatitis: assessment of severity with clinical and CT evaluation. Radiology. 2002;223(3):603-13.
IsenmannR, BuchlerM, UhlW, MalfertheinerP, MartiniM, BegerHG. Pancreatic necrosis: an early finding in severe acute pancreatitis. Pancreas. 1993;8(3):358-61.
FlatiG, SalvatoriF, PorowskaB, et al. Severe hemorrhagic complications in pancreatitis. Ann Ital Chir. 1995;66(2):233-7.
BretagneJF, HeresbachD, DarnaultP, et al. Pseudoaneurysm and bleeding psedocysts in chronic pancreatitis: radiological findings and contribution to diagnosis in 8 cases. Gastrointest Radiol. 1990;15(1):9-16. http://dx.doi.org/ [https://doi.org/10.1007/BF01888725].
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email