Unusual tomographic findings of complicated necrotizing pancreatitis.

Autor:	Sigrist RMS; Department of Radiology - Instituto do Coração - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil., Gomes SIM; Department of Radiology - Instituto do Coração - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil., Possagnolo DT; Department of Radiology - Instituto do Coração - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil., Martines BMR; Diagnostic Imaging service - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
Jazyk:	angličtina
Zdroj:	Autopsy & case reports [Autops Case Rep] 2013 Dec 31; Vol. 3 (4), pp. 63-68. Date of Electronic Publication: 2013 Dec 31 (Print Publication: 2013).
DOI:	10.4322/acr.2013.041
Abstrakt:	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. Competing Interests: Conflict of interest: None
Databáze:	MEDLINE
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