Acute pancreatitis in six non-transplanted uraemic children
| Autor: | J. C. Davin, Michel Broyer, B. Boudailliez, J. B. Palcoux, G. Landthaler, Jean-Luc André |
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| Přispěvatelé: | Other departments |
| Rok vydání: | 1988 |
| Předmět: |
Male
medicine.medical_specialty Hypercalcaemia Adolescent Pancreatic pseudocyst medicine.medical_treatment Vesicoureteral reflux Peritoneal dialysis Peritoneal Dialysis Continuous Ambulatory medicine Humans Child Uremia business.industry medicine.disease Kidney Transplantation Surgery Transplantation Pancreatitis Nephrology Child Preschool Acute Disease Amylases Pediatrics Perinatology and Child Health Acute pancreatitis Female business Parotitis |
| Zdroj: | Pediatric nephrology (Berlin, Germany), 2(4), 431-435. Springer Verlag |
| ISSN: | 1432-198X 0931-041X |
| DOI: | 10.1007/bf00853437 |
| Popis: | Ten clinical episodes of acute pancreatitis (AP) occurred in six patients (mean age 10 years, range 3-15 years) with chronic renal failure (CRF) during a 9-year period (1977-1986). The underlying cause of CRF was vesicoureteral reflux (2); urethral valves (1); ureterohydronephrosis (1); nephronopthisis (1) and a haemolytic uraemic syndrome which occurred 12 years before (1). In all patients a diagnosis of AP was established both on clinical grounds and with a serum amylase level of greater than 600 IU/l. In 3 patients laparotomy was performed because of suspected appendicitis. All patients required exclusive parenteral feeding (mean duration 25 days) and 2 patients had a partial pancreatectomy. No patient developed pancreatic pseudocysts, 2 patients experienced one relapse (3 and 21 months later) and 1 patient had two relapses and died. Mean duration of follow up was 3 years (range 1-10 years). Possible aetiological factors were: choledochal cyst (1); parotitis without a rise in mumps antibodies (1); familial dyslipidaemia but without AP in other family members (1), and aluminium intoxication with hypercalcaemia and convulsive encephalopathy treated with valproic acid in 1 patient. Severe hyperparathyroidism with radiological signs was absent in all patients. Transplantation had been performed either before AP in 2 patients (1 and 3 years before AP) or had followed AP in 1 patient (7 years after) without occurrence or relapse of AP. |
| Databáze: | OpenAIRE |
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