Severe acute pancreatitis 5 years after pancreaticoduodenectomy: A case report

ConclusionClinicians should be aware that severe acute pancreatitis can occur after PD.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research

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Pancreaticoduodenal artery aneurysm (PDA) is a rare visceral aneurysm and represents 1.5% of all the visceral arterial aneurysms. A 81-year old man was admitted with acute abdominal pain. He suffered 2 previous episodes of pancreatitis and he underwent abdominal aortic aneurysm repair eleven years before.The CT scan revealed a 92 mm aneurysm of inferior PDA artery with pre-rupture signs associated with the celiac trunk obstruction.The patient underwent a selective catheterization and embolization of superior PDA artery with coils, inferior PDA artery with 12 mm Amplatzer and aneurysm sac embolization by Onyx and coils.The ...
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
Authors: Matsumoto K, Kikuchi K, Kuniyoshi N, Tsunashima H, Sekine K, Mabuchi M, Doi S, Zen Y, Miyakawa H Abstract A 70-year-old woman was referred to our hospital due to symptoms of dry eyes, dry mouth, and epigastric pain. Computed tomography showed distal pancreatic swelling, liver edge dullness and surface irregularities. Serum anti-nuclear antibody titers, immunoglobulin G and IgG4 levels were elevated. Autoimmune pancreatitis (AIP) was diagnosed based on endoscopic findings and a histopathological examination. Her AIP improved after starting prednisolone treatment. A liver biopsy revealed interface hepatitis ...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
DISCUSSION: This Babcock technique with endoscopic necrosectomy has not been previously described in the literature, to our knowledge. Babcock forceps were an ideal tool in our case because they were able to gain access to the obstruction in the stent, but the "teeth" are small and dull enough to prevent from catching onto the metal stent mesh. PMID: 31314716 [PubMed - in process]
Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
ConclusionColonic stenting is useful as a bridge to surgery in the management of large bowel obstruction.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Conclusion: Combination of gastrojejunostomy and Warshaw operation is one of the ideal surgical procedures for patients of DO due to CPPT.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Rationale: Mucinous cystic neoplasms (MCNs) are pancreatic mucin-producing cystic lesions with a distinctive ovarian-type stroma. The diagnosis is generally easy in typical cases; however, differential diagnosis is difficult in others such as in the case we report herein. Patient concerns: A 27-year-old woman with sudden onset of epigastric pain was referred to our hospital for suspected acute pancreatitis. Contrast-enhanced computed tomography revealed a 25-mm cystic lesion in the pancreas and a low density area with delayed enhancement at the right upper side of the cystic lesion. Diagnoses: During its clinical c...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
We report a rare and complicated case presenting with SMA branch pseudoaneurysm rupture and acute type B aortic dissection. CTA is vital in the diagnosis of such vessel pathology. We must inspect carefully to ensure that no small lesions are missed.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Authors: Mori T, Kondo H, Naitoh I, Koyama T, Takenaka Y, Komai H, Araki S, Kitagawa M, Nishigaki N, Tanaka Y, Itoh K, Hasegawa C, Kawai T, Hayashi K Abstract A 26-year-old woman complained of upper abdominal pain. Computed tomography (CT) showed acute pancreatitis, a left adrenal tumor and solitary right pulmonary metastasis. She underwent left adrenalectomy; the adrenal tumor was diagnosed as adrenocortical carcinoma (ACC). When preparing to resect the pulmonary metastasis, she suffered a second acute pancreatic attack. Magnetic resonance cholangiopancreatography (MRCP) showed that the proximal main pancreatic du...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
ConclusionsAssociation of splanchnic and renal vein thrombosis without inferior vena cava thrombosis as a complication of acute pancreatitis has never been reported before. There are no specific aspects of management of this complication; therapeutic anticoagulation and symptomatic treatment are the main measures used owing to the lack of available organs for liver transplant. The prognosis depends on the consequences of splanchnic thrombosis and their complications.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
ConclusionCT reporting standards for CP is a reliable method for diagnosis of patients with CP.
Source: Abdominal Imaging - Category: Radiology Source Type: research
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