Complicated chronic pancreatitis – a case report of unsual presentation

Authors

  • Alexandra Bayão Horta Serviço de Medicina, Hospital da Luz
  • Damião Ferreira Serviço de Cirurgia Geral, Hospital da Luz
  • Luís Rosa Serviço de Radiologia, Hospital da Luz
  • João Sá Serviço de Medicina, Hospital da Luz

Keywords:

chronic pancreatitis, pancreatic pseudo-cyst, pancreatic fistula

Abstract

The autors describe a patient with a 5 month history of astenia,
anorexia and weigth loss. Three months after the begining of the
disease disphagia for solid food appearede as well as dispnœa.
The investigation led to the diagnosis of alcohol related chronic
pancreatitis with infected mediastinal pseudo-cyst, pancreatic
fistula, pancreatic pleural effusion and probable splenic artery
thrombosis.

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References

Whitcomb David C. MD, PhD. Genetic Predisposition to Alcoholic Chronic Pancreatitis. Pancreas 2003; 27 (4):321-326.

Michael L, Steere MD, Irving Waxman MD, and Steven Freedman M.D. Chronic Pancreatitis. NEng J Med 1995;332:1482-1490.

Malka D, Hammmel P, Sauvanet A, et al. Risk factors for diabetes mellitus in chronic pancreatitis. Gastroenterology 2000; 119:1324.

Yeo CJ, Bastidas JA, Lynch-Nyhan A et al. The natural history of pancreatic pseudocyst documented by computed tomography. Surg Gynecol Obstect 1990; 170(5):411-417.

Fulcher AS, Capps GW, Turner MA. Thoracopancreatic fistula: clinical and imaging findings. J Comput Assist Tomogr 1999;23(2):181-187.

Kaman L, Behera A, Singh R et al. Internal pancreatic fistulas with pancreatic ascites and pancreatic pleural effusions: recognition and management. ANZ J Surg 2001; 71(4):221-225.

Steven D Freedman MD PhD. Complications of chronic pancreatitis. 2008 UpToDate: www.uptodate.com

Published

2010-06-30

How to Cite

1.
Bayão Horta A, Ferreira D, Rosa L, Sá J. Complicated chronic pancreatitis – a case report of unsual presentation. RPMI [Internet]. 2010 Jun. 30 [cited 2024 May 19];17(2):111-6. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1242

Issue

Section

Case Reports