A Rare Emergency Diagnosis: Pancreatic ductal rupture

Yıl 2024, Cilt: 15 Sayı: 4, 93 - 95, 25.12.2024

Zeynep Saral Öztürk , Sedat Akkan

https://doi.org/10.33706/jemcr.1457994

Öz

Chronic pancreatitis is a condition that results from episodes of acute pancreatitis. It is difficult to diagnose chronic pancreatitis in the early stages and to recognize complications. Recognizing duct rupture, one of the complications of chronic pancreatitis, is important for initiating treatment. A 75-year-old woman presented to the emergency department with abdominal pain. Amylase and lipase levels were 65 u/L and 75 u/L, respectively. Computed tomography performed in the emergency department revealed ductal rupture and the patient was hospitalized in the gastroenterology service. Treatment included endoscopic examination followed by pancreatic rest, hydration and proton pump inhibitors. Pancreatic duct rupture, which is rarely encountered in the emergency department, should be considered as an alternative diagnosis in patients presenting with abdominal pain and a previous pancreatitis attack.

Anahtar Kelimeler

Chronic pancreatitis,, complication,, ductal rupture

Destekleyen Kurum

No

Kaynakça

• 1. Majumder S, Chari ST. Chronic pancreatitis. Lancet 2016; 387:1957.
• 2. Shimizu Y, Ashida R, Sugiura T, Okamura Y, Ito T, Yamamoto Y. Uesaka, K. Intraductal tubulopapillary neoplasms with rupture of the distal main pancreatic duct: a case report. Surgical Case Reports 2020;6(1); 1-6.
• 3. Sedai H, Poddar E, Shrestha S, Koirala D, Gautam A. Delayedpresentation of isolatedductalrupture of pancreatic head from blunt abdominal trauma managed conservatively: A case report. Annals of Medicine and Surgery 2022;(80): 104249.
• 4. Varadarajulu S, Rana SS, Bhasin DK. Endoscopic therapy for pancreatic duct leaks and disruptions. Gastrointest Endosc Clin N Am. 2013;23(4):863-92.
• 5. Özen Olcay, H., Emektar, E., Tandoğan, M., Şafak, T., Bulus, H., &Cevik, Y. Evaluation of urine analysis in adults with simple and complicated appendicitis. Ankara Medical Journal 2020;20(4):790-797.
• 6. Akıncı E, KocaşabanÜçöz D, Coşkun F. Yüksek Doz Naproksen Alımına Bağlı Akut Pankreatit Olgusu. Türkiye Acil Tıp Dergisi 2010; (4): 191-193.
• 7. Uomo G, Molino D, Visconti M, Ragozzino A, Manes G, Rabitti PG. Theincidence of main pancreatic duct disruption in severe biliary pancreatitis. The American journal of surgery 1998;176(1): 49-52.
• 8. Kapan M, Kapan S, Durgun AV, Göksoy E, Perek S. Pankreas Psödokistlerine güncel yaklaşım: 39 Olguluk serinin retrospektif analizi ve güncel literatür bilgilerinin gözden geçirilmesi. Ege Tıp Dergisi, 2004; 43.3: 175-180.
• 9. Gillams AR, Kurzawinski T, Lees WR. Diagnosis of duct disruption and assessment of pancreatic leak with dynamic secretin-stimulated MR cholangio pancreatography. AJR Am J Roentgenol 2006;186: 499–506.