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PANCREATITIS AGUDA PUERPERAL TRAS CESáREA
Virginia Díaz M,José María Moral P,Ignacio Zapardiel G,Alicia Bartolomé V
Revista Chilena de Obstetricia y Ginecología , 2008,
Abstract: La pancreatitis aguda es una complicación poco frecuente en el embarazo, pero que presenta una gran morbimortalidad, siendo su prevalencia mayor en el tercer trimestre y puerperio inmediato. Presentamos un caso de pancreatitis aguda post cesárea en una paciente sin antecedentes, a cuyo diagnóstico se llegó por el apoyo de pruebas diagnósticas de imagen. El tratamiento fue llevado por un equipo multidisciplinario que logró la remisión completa de la enfermedad. Acute pancreatitis is an uncommon complication during pregnancy which is associated with great morbimor-tality and its prevalence increases during the third trimester and early puerperium. We report a case of acute pancreatitis following to caesarean section in a patient with an unremarkable medical history. Diagnosis was done by means of imaging techniques and its treatment was carried out by a multidisciplinar/ team.
Pancreatitis aguda, diabetes y sarcoidosis: Reporte de un caso y revisión del tema
Sánchez-Lozada, Raúl;Soriano-Rosas, Juan;Gutiérrez-Vega, Rafael;
Gaceta médica de México , 2004,
Abstract: introduction: sarcoidosis is a systemic, chronic, granulomatous disease of unknown cause. pancreatic affection is rare and even more rare is the association among sarcoidosis, acute pancreatitis and diabetes mellitus. this is the first case reported in mexico. case report: male 29 years. sarcoidosis is diagnosed from the patient age of 20 years, with intermittent episodes affecting articulate, ophthalmic, cutaneous, lung and central nervous system. at 22 years of age the patient was diagnostic with diabetes mellitus. he was admitted with severe acute pancreatitis, that causes him to die. discussion: diabetes mellitus is due to sarcoidotic infiltration of pancreas. acute pancreatitis has been related with inflammatory or secondary process to frequent presence of hypercalcemia in the sarcoidosis. diagnosis is not easy. this type of pancreatitis responds to treatment with steroids.
Pseudotumor renal secundario a pancreatitis aguda: A propósito de un caso
Fumadó Ciutat,Ll.; López-Costea,M.á.; Elías Ca?avera,F.J.; Buisán Rueda,O.; Riera Canals,L.; Franco Miranda,E.;
Actas Urológicas Espa?olas , 2005, DOI: 10.4321/S0210-48062005000800014
Abstract: we present the case of a renal pseudotumor corresponding to a esteatonecrotic granuloma, secondary to an enolic acute pancreatitis a few months ago. the main caractheristics, diagnosis and terapeuthics of the renal pseudotumors are discussed with the case report of a 60 year old man who presents a renal mass founded incidentally at a control computed tomography.
Pancreatitis aguda inducida por hipertrigliceridemia y tratamiento con plasmaféresis: reporte de un caso
Gutiérrez Restrepo,Johnayro; Mu?oz Ortiz,édison; Arango Toro,Clara María; Vásquez Mejía,Esdras Martín; Montoya Escobar,Julián Felipe; Villa Franco,Juan Pablo;
Iatreia , 2012,
Abstract: hypertriglyceridemia (htg) is a potential cause of acute pancreatitis (ap), especially when its value is higher than 1.000 mg/dl. different therapeutic measures have been proposed for patients with ap secondary to htg, including the one that seems to be more effective: plasmapheresis. we report the case of a patient with severe htg (triglycerides 6.480 mg/dl) that suffered from ap, and had favorable evolution with plasmapheresis.
Pancreatitis aguda recurrente, caso clínico  [cached]
PAMELA ARGOLLO M,CRISTIAN GARCíA B,PAUL R HARRIS D
Revista chilena de pediatría , 2007,
Abstract: Introducción: La pancreatitis aguda recurrente (PAR) se define como episodios de pancreatitis aguda (PA) con resolución clínica y anatómica completa entre los episodios. Su etiología es heterogénea y en un 20-35% desconocida. Objetivo: Discutir el diagnóstico etiológico de PAR y el estudio más apropiado. Caso Clínico: Presentamos el caso de un ni o de 9 a os que presentó 6 episodios de pancreatitis aguda, cuatro de los cuales requirieron hospitalización. El estudio incluyó 3 estudios de tomografía computarizada de abdomen y pelvis, que mostraron hallazgos compatibles con PA en grado variable, colangiopancreatografía por resonancia magnética que no mostró hallazgos patológicos, estudio de bilis por sondeo duodenal positivo para cristales de bilirrubinato de calcio, estudio inmunológico y metabólico normal, test del sudor negativo y estudio de mutaciones para fibrosis quística negativo. Durante los episodios de PA, se realizaron 3 TAC abdominales que mostraron hallazgos compatibles con PA en grados variables (Baltasar C a E). Estudio genético para pancreatitis hereditaria fue negativo. Debido a nula respuesta con enzimas pancreáticas se realizó colecistectomía laparoscópica. Conclusión: La PAR, entidad poco frecuente en pediatría, debe sospecharse ante cuadros reiterados de dolor abdominal, asociados a elevación de amilasa y lipasa séricas, para iniciar estudio y manejo adecuado Recurrent acute pancreatitis Background: Recurrent acute pancreatitis (RAP) is defined as episodes of acute pancreatitis with complete clinical and anatomical resolution between each episode. The etiology is diverse in children (20-35% unknown). Objective: Analyze the etiology, diagnosis and most appropriate screening of RAP in children. Case-report: A 9 year-old boy with 6 episodes of acute pancreatitis (AP); 4 of them required hospital admission. The study included a normal colangiopancreatography, normal basic immunologic and metabolic exams and negative genetic assessment of the cystic fibrosis′ most common mutation. During the episodes of AP, 3 computed tomography images were obtained and showed AP in different degrees (Baltasar C and E). Genetic testing for hereditary pancreatitis was negative. Laparoscopic colecistectomy was performed. Conclusion: RAP must be suspected in children with recurrent abdominal pain and elevated serum amylase-lipase concentration, in order to initiate an adequate evaluation
PANCREATITIS AGUDA COMO PRESENTACIóN DE UN QUISTE DEL CONDUCTO BILIAR EN EL ADULTO: REPORTE DE CASO Acute pancreatitis as a presentation of bile duct cyst in adults: a case report  [cached]
Lenin Enríquez Domínguez,Juan de Dios Díaz Rosales,Enrique Cabrera Hinojosa,Pedro Gutiérrez Ramírez
Revista Facultad de Medicina de la Universidad Nacional de Colombia , 2009,
Abstract: Paciente adulta se presentó en la sala de urgencias con un cuadro de pancreatitis aguda como complicación de un quiste del conducto biliar colédoco tipo IV, el cual fue diagnosticado por ultrasonograma abdominal durante su estancia intrahospitalaria. El diagnóstico de quiste de colédoco es más difícil en la edad adulta ya que los pacientes raramente se presentan con la triada clásica de dolor abdominal, masa palpable e ictericia, presentándose principalmente con alguna manifestación de vías biliares o pancreática benigna. Existen pocas publicaciones en Occidente acerca de este tópico. La importancia en cuanto al diagnóstico temprano, la clasificación del mismo y al tratamiento quirúrgico con la resección total del quiste radica en su alta incidencia hacia el desarrollo de colangiocarcinoma. An adult female patient who attended an ER with acute pancreatitis as a complication of bile duct cyst disease is described here; she was diagnosed by abdominal ultrasonogram during her hospital stay. A diagnosis of bile duct cysts is difficult to make in adults, since patients rarely present the classic picture of abdominal pain, palpable mass and jaundice; it is mainly presented as a biliary duct or pancreatic tissue complication. There are few publications on this topic in the west. A diagnosis can be made by ultrasound in many cases and is the image study of choice due to its low cost and accessibility. These are only few western publications concerning this subject. The importance of making an early diagnosis, classification and surgical treatment (total resection of the cyst) lies in the high risk of malignancy developing.
Injuria pulmonar aguda asociada a transfusión en el embarazo: Reporte de un caso y revisión de la literatura Transfusion-related acute lung injury during pregnancy: A case report and literature review  [cached]
Jesús Arnulfo Velásquez-Penagos,Teófilo Jara-Mori
Revista Colombiana de Obstetricia y Ginecología , 2008,
Abstract: La injuria pulmonar aguda asociada a transfusión (TRALI) es un evento poco frecuente, especialmente raro en la práctica obstétrica. Sin embargo, hoy en día es la principal causa de muerte asociada a dicho procedimiento. Su mortalidad es alrededor del 6%. Desde el 2004 se definieron los criterios diagnósticos de TRALI que deben ser tenidos en cuenta para su identificación y tratamientos tempranos. Se presenta el caso de una gestante con 30 semanas de embarazo, hospitalizada con diagnóstico de infección urinaria, a quien se le transfundió una unidad de glóbulos rojos después de evaluar un resultado de hemoglobina de 6,7 g/dl, una hora después presentó síndrome de dificultad respiratoria aguda severa que requirió ventilación mecánica por cuatro días. El resultado materno y perinatal fue óptimo con resolución completa del evento respiratorio. Se considera relevante reportar el caso para motivar la notificación de esta complicación, pues se desconoce la influencia del embarazo sobre ella. Además, se le debe informar al banco de sangre para fortalecer el sistema de hemovigilancia. Transfusion-related acute lung injury (TRALI) is an uncommon complication, especially in obstetrics. The mortality rate for this event is around 6% and has now become the leading cause of transfusion-related death. TRALI diagnosis criteria have been well established since 2004 and they must be considered for its early identification and treatment. We report a case of a 30-week pregnant woman who suffered a urinary tract infection. She received a blood transfusion with one unit of red blood cells due to having 6.7 gr/dl having 6.7 gr/dl haemoglobin. One hour later she developed an acute respiratory distress syndrome and required four days’ mechanical ventilation. Maternal and neonatal outcome were optimal, leading to complete resolution of respiratory symptoms. This case should be shared to motivate reporting this kind of complication because the influence of pregnancy on TRALI is usually ignored. Furthermore, fluent communication with the blood bank should be established to strengthen the transfusion surveillance system.
PANCREATITIS AGUDA COMO PRESENTACIóN DE UN QUISTE DEL CONDUCTO BILIAR EN EL ADULTO: REPORTE DE CASO
Domínguez,Lenin Enríquez; Díaz Rosales,Juan de Dios; Cabrera Hinojosa,Enrique; Gutiérrez Ramírez,Pedro; Aguayo Mu?oz,Baltazar;
Revista Facultad de Medicina de la Universidad Nacional de Colombia , 2009,
Abstract: an adult female patient who attended an er with acute pancreatitis as a complication of bile duct cyst disease is described here; she was diagnosed by abdominal ultrasonogram during her hospital stay. a diagnosis of bile duct cysts is difficult to make in adults, since patients rarely present the classic picture of abdominal pain, palpable mass and jaundice; it is mainly presented as a biliary duct or pancreatic tissue complication. there are few publications on this topic in the west. a diagnosis can be made by ultrasound in many cases and is the image study of choice due to its low cost and accessibility. these are only few western publications concerning this subject. the importance of making an early diagnosis, classification and surgical treatment (total resection of the cyst) lies in the high risk of malignancy developing.
Acute pancreatitis induced by hypertriglyceridemia and treatment with plasmapheresis: case report = Pancreatitis aguda inducida por hipertrigliceridemia y tratamiento con plasmaféresis: reporte de un caso
Mu?oz Ortiz, édison,Arango Toro, Clara María,Vásquez Mejía, Esdras Martín,Gutiérrez Restrepo, Johnayro
Iatreia , 2012,
Abstract: Hypertriglyceridemia (HTG) is a potential cause of acute pancreatitis (AP), especially when its values are greater than 1.000 mg/dL. Different therapeutic measures have been proposed for patients with AP secondary to HTG, including the one that seems to be more effective: plasmapheresis. We report the case of a patient with severe HTG (triglycerides 6.480 mg/dL) that suffered from AP, and had favorable evolution with plasmapheresis.
HIPERPARATIROIDISMO PRIMARIO Y EMBARAZO: REPORTE DE UN CASO  [cached]
Ernesto Perucca P,Eduardo Cuellar J,Eliecer Pincheira U,Rocío Arenas P
Revista Chilena de Obstetricia y Ginecología , 2009,
Abstract: El hiperparatiroidismo primario (HPTP) se caracteriza por una hipersecreción autónoma de paratohormona (PTH), lo que provoca hipercalcemia e hipercalciuria, con afectación ósea, renal y de otras partes del organismo, en grado variable. El HPTP tiene una prevalencia de 1 en 1000 en la población general y se presenta con mayor frecuencia en mujeres que en hombres. Es infrecuente su presentación en el embarazo, y sus complicaciones derivadas de la hipercalcemia pueden afectar tanto a la madre como al feto. Presentamos el caso de una paciente de 37 a os, cursando un embarazo de 10 semanas, que ingresó al servicio con los diagnósticos de nefrocalcinosis y pielonefritis aguda, a la que se diagnosticó un hiperparatiroidismo primario, cuya etiología fue un adenoma paratiroideo único. Primary hyperparathyroidism (HPTP) is a disorder characterized by elevated levels of parathyroid hormone (PTH), which leads to hypercalcemia and hypercalciuria, with variable osseous, renal and other systems affectation. HPTP has a prevalence of 1:1000 in general population and is more frequent in women than men. It is very rare during pregnancy, and its complications are produced by hypercalcemia and they can affect the mother and the fetus. We present the case of a 37 year old woman, with a 10+2 weeks pregnancy that was admitted in our Hospital with nephrocalcinosis and urinary tract infection, whom was diagnosed primary hyperparathyroidism, whose etiology was a single parathyroid adenoma.
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