Pancreatic encephalopathy, a little known complication of acute pancreatitis
| Autor: | Fernando Alberca de Las Parras, Paloma Albacete Ródenas, José Antonio Pons Miñano, Úrszula Gajownik, Maria Luisa Ortiz Sánchez |
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| Rok vydání: | 2021 |
| Předmět: |
Cholangiopancreatography
Endoscopic Retrograde Male Brain Diseases business.industry Encephalopathy Gastroenterology Hemodynamics General Medicine Middle Aged medicine.disease Level of consciousness Pancreatitis Anesthesia Acute Disease Medicine Acute pancreatitis Humans Respiratory system medicine.symptom business Complication Pancreas Somnolence |
| Zdroj: | Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva. 114(2) |
| ISSN: | 1130-0108 |
| Popis: | A 62-year-old male presented with severe post-endoscopic retrograde cholangiopancreatography (post-ERCP) acute pancreatitis. He required admission to the Intensive Care Unit (ICU) twice due to respiratory and renal failure and neurological deterioration. On the hospitalization ward, he presented a fluctuating alteration of the level of consciousness, with bradypsychia, disorientation and somnolence, which persisted after hemodynamic, metabolic and renal stabilization. A brain magnetic resonance imaging (MRI) was performed showing focal lesions due to small vessel disease, some with cavitations due to necrosis, and mild to moderate subcortical atrophy. A diagnosis of pancreatic encephalopathy was made given the clinical and radiological findings. The patient recovered full cognitive capacity after one week with adequate nutrition supported by protein supplementation. |
| Databáze: | OpenAIRE |
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