Acute Pancreatitis After Acute Aortic Dissection: Report of a Case and Review of the Literature

Abstract

Acute aortic dissection (AAD) is an uncommon clinical picture with a high mortality rate. Early diagnosis and treatment are important in decreasing the mortality. Clasically, AAD is characterized by a severe sudden onset pain of the chest, back, and abdomen. However, the patients with AAD may admit with a variety of different clinical findings as due to level of dissection in the aorta. In this study, our aim is to emphasize that the ADD rarely will cause gastrointestinal symptoms. In this paper, we reported a case of ADD caused acute pancreatitis, presenting in emergency department with abdominal pain.©2008, Ondokuz Mayis University, Medical Faculty.

Keywords

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Akut aort diseksiyonu sonrasında gelişen akut pankreatitli bir olgunun sunumu ve literatürün gözden geçirilmesi

Öz

Akut aort diseksiyonu (AAD) nadir görülen ve mortalitesi yüksek bir klinik tablodur. Erken teşhis ve tedavi mortalitenin azaltılmasında önemlidir. Klasik olarak AAD ani ve şiddetli göğüs ağrısı, sırt ağrısı veya karın ağrısı ile karakterizedir. Ancak AAD'lu hastalar diseksiyonun bulunduğu bölgeye bağlı olarak çok farklı klinik bulgularla başvurabilirler. Bu çalışmadaki amacımız AAD'nun nadiren de olsa gastrointestinal semptomlara neden olabileceğini vurgulamaktır. Bu yazıda karın ağrısı şikayeti ile acil servise başvuran ve akut pankreatite neden olan AAD'lu bir olgu sunulmuştur.©2008, Ondokuz Mayıs Üniversitesi, Tıp Fakültesi

Anahtar Kelimeler

• Akut pankreatit, aort diseksiyonu, gastrointestinal komplikasyon

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15. Kabul Tarihi:05.11.2007