| Autor: |
Dikmetaş, Cesareddin, Cander, Başar, Bulut, Bensu, Atik, Dilek, Köksal, Ayla, Güven, Ramazan |
| Předmět: |
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| Zdroj: |
Journal of Academic Emergency Medicine Case Reports / Akademik Acil Tip Olgu Sunumlari Dergisi; 2019, Vol. 10 Issue 4, p118-120, 3p |
| Abstrakt: |
Introduction: Acute pancreatitis (AP); It is defined as a reversible inflammatory process in which the tissue of the pancreas is affected at various degrees, accompanied by local tissue or organ systems. We report the case with a diagnosis of acute pancreatitis, who have abdominal pain; but no serum amylase and lipase elevation. We diagnosed edematous pancreatitis image in the computed tomography (CT). Case: A 51-year-old male admitted to the emergency department(ED) with sever abdominal pain. He had diabetes mellitus (DM) in his medical history. His vital signs were normal. He has epigastric tenderness, abdominal guarding on palpation; no rebound tenderness or rigitidy was noted. The blood test measurements were WBC: 5.50 10³/uL, Glucose: 444 mg/dl, AST: 13U/L, ALT: 15 U/L, GGT:33 U/L, ALP: 107 U/L, Amylase: 28: U/L, Lipase: 58.8 U/L, CRP: 104.05 mg/L. In abdominal ultrasonography of the patient; pancreas and midline structures could not be evaluated due to gas. No ultrasonographic pathology was detected in other intraabdominal organs. Contrast-enhanced CT of the abdomen was performed because of persistant, severe abdominal pain and it revealed peripancreatic diffuse inflammatory densities (edematous pancreatitis), shown in image 1. The patient was consulted with the internal medicine clinic. Internal Medicine Clinic suggested hospitalization with the diagnosis of edematous pancreatitis to him. Conclusion: As in this case, blood tests are not sufficient for diagnosis of pancreatitis and if there is clinical necessity, the emergency physician should consider imaging examinations for diagnosis of pancreatitis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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