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Query: UMLS:C0001339 (acute pancreatitis)
 10,593 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

During a two-year period, major operations were performed on 874 males and 649 females at the first-aid section of a major hospital. Acute appendicitis was the most common intraoperative diagnosis (45.63%), followed by intestinal obstruction (21%), gastroduodenal perforation (6.83%), abdominal injury (5.98%), angiosurgical emergency situations (5.19%, including amputation for gangrene), gynaecological emergency situations (3.74%), acute cholecystitis (3.35%), haematemesis (1.44%), acute pancreatitis (1.31%), and various other diseases. Further surgery as a result of complications was required in 2.63%. Mortality (1 year only) was 7.42%. The results achieved and the tactical criteria employed are discussed.
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PMID:[Epidemiological study of emergency surgical pathology in the first aid department of a large hospital]. 30 23

In uremic patients under long-time dialysis and after kidney transplantation surgical diseases with severe complications may occur, such as gastro-duodenal ulcers, inflammatory and ischaemic diseases of the colon, acute pancreatitis, intestinal obstruction. Most of the complications have only poor symptoms. If complications are suspected, an "aggressive diagnostic regimen" is mandatory. The incidence of cancer is higher in these patients. Complications can be diminished by prophylactic operations, such as gastric resection in gastro-duodenal ulcer. A restriction in elective and emergency operations has no longer a place in these patients.
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PMID:[Surgical diseases in patients under long-time dialysis and after kidney transplantation (author's transl)]. 38 1

Two cases of acute pancreatitis in pregnancy occurred among Vietnamese evacuees in Arkansas. In both cases, Ascaris lumbricoides seemed the likely cause. In endemic areas including the rural southeastern United States, a high index of suspicion for ascariasis is needed because these worms may cause a variety of abdominal disorders including pancreatitis, cholecystitis, and bowel obstruction. In appropriate settings, a therapeutic trial with antihelminthics is indicated.
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PMID:Acute pancreatitis in pregnancy with Ascaris infestation. 83 Nov 88

The presentation, operative management and final diagnosis were reviewed in 28 patients with AIDS (27 men and one woman) who underwent emergency laparotomy. On clinical and radiological examination, six patients showed features of toxic megacolon, five patients had small bowel obstruction, six patients had localized peritonitis and three had perforated viscus with generalized peritonitis. The most common disease processes were acute colitis in seven patients (associated with cytomegalovirus (CMV) infection in six), intra-abdominal lymphoma in five patients, acute appendicitis in five patients (associated with CMV infection in two), and atypical mycobacterial (MAI) infection in four patients. Two perioperative deaths occurred; one in a patient with acute pancreatitis and a second with generalized peritonitis. Later deaths were due to progression of AIDS, and patient survival at 1 month, 3 months and 6 months was 89 per cent, 64 per cent and 48 per cent, respectively. Lower operative mortality than in previously reported series may be due to earlier intervention in CMV toxic megacolon. Surgery, however, conferred less benefit in patients with acute abdominal pain from MAI infection or lymphoma. With careful patient selection, emergency laparotomy may achieve worthwhile palliation in patients with AIDS.
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PMID:Emergency laparotomy in patients with AIDS. 131 Jun 34

This article takes into account the diagnostic reliability of ultrasounds (US) in the ureteral lithiasis localisation. A stone has been ultrasonographically localised in 82.3% of 119 patients, this rate rising up to 89.4% in the last 85 consecutive patients. From a clinical point of view, 104 patients presented renal signs, whereas 10 out of them showed an atypical symptomatology, which at first led to a suspicion of acute appendicitis (5), intestinal obstruction (4), acute pancreatitis (1). A stone was accidentally detected in five asymptomatic patients. In 80% of the cases, the stone was situated in the proximal or juxtavesical ureter; in 20%, in the middle or distal ureter. A particular stress is laid in the ultrasonographic follow-up, by which the stone was uncovered in 6 cases, at first considered negative at US. Eight patients had to be referred to treatment with ESWL.
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PMID:[Diagnostic reliability of echography in ureteral lithiasis]. 195 32

We have reported a rare case of acute large bowel obstruction complicating acute pancreatitis. The diagnosis of pancreatitis is often initially not considered in such patients, and is established only at laparotomy. The splenic flexure is the most common site of large bowel involvement. A proximal defunctioning colostomy is the preferred primary management.
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PMID:Acute large bowel obstruction complicating acute pancreatitis. 337 86

The author's personal series consists of 9 patients, representing 1.5 per cent of cases of chronic pancreatitis and 7 per cent of cases of acute pancreatitis. In the literature, this frequency is reported as being in the order of 2 to 3 per cent. Colonic involvement may be either acute as a result of ischaemia and necrosis due to acute pancreatitis or chronic, following acute pancreatitis or an acute episode of chronic pancreatitis by retraction of the colon or by compression by a pancreatic pseudocyst. The patient frequently presents with an acute intestinal obstruction. The most frequent site is in the left colonic flexure in 5 out of 9 cases (52 per cent in the literature). In general, the colonic involvement occurs as a result of the diffusion of the necrotic process in the mesentery. The diagnosis is based on the barium enema. Preservation of the mucous border is accompanied by mucosal inflammatory signs. The authors have identified two elements predictive of regression: the absence of fixed stenosis and the presence of mucosal inflammatory signs and the normal external appearance of the colon at exploratory laparotomy. During acute pancreatitis, colonic surgery is only required in the cases of an acute intestinal obstruction or necrosis associated with colonic stenosis. The surgical indications are more extensive in the case of chronic pancreatitis: fixed stenosis with definite signs of obstruction. The usual treatment in this case is colonic resection.
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PMID:[Colonic stenosis in pancreatitis]. 409 99

The clinical usefulness of serum pancreatic secretory trypsin inhibitor (PSTI) in pancreatic diseases was evaluated. The mean serum PSTI level of 41 healthy normal persons was 9.4 ng/ml (ranging from 5.2 to 16.7 ng/ml). Serum PSTI levels were abnormally raised in all patients with acute pancreatitis ranging from 35.0 to 4500 ng/ml, but were almost within normal range in patients with chronic pancreatitis, pancreatic cyst, acute abdominal emergencies such as perforated ulcer and intestinal obstruction, and macroamylasemia. There was no correlation between serum PSTI levels and total or pancreatic-type isoamylase activity. Patients with acute pancreatitis in whom the elevation of serum PSTI was transient and occurred after that of serum amylase activity had relatively mild symptoms and recovered along with normalization of serum PSTI levels. On the other hand, patients whose serum PSTI values became increased coincidentally with serum amylase activity and remained elevated, had severe clinical symptoms and unfavorable clinical outcome. Of 2 patients who underwent partial pancreatectomy, the serum PSTI level increased markedly in one who developed postoperative pancreatitis but not in the other without pancreatitis. In contrast to patients with acute pancreatitis, the serum response to the secretin stimulation in patients with chronic pancreatitis, was only small and transient, reaching the maximum at 10 min after administration of secretin. These results suggest that measurement of serum PSTI concentration may be useful in the diagnosis of acute pancreatitis and that the degree of rise and the duration of the elevated levels of serum PSTI are closely related to the severity of acute pancreatitis.
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PMID:Serum pancreatic secretory trypsin inhibitor in pancreatic disease. 620 36

Two male alcoholics with persistent duodenal obstruction due to relapsing acute pancreatitis are reported. Both patients were operated upon with gastrojejunostomy. One of the patients had a transient obstruction of the colon at the left flexure. The gut impairment has been followed roentgenologically and by gastroduodenoscopy. The literature concerning intestinal obstruction caused by pancreatitis is reviewed.
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PMID:Persistent duodenal obstruction secondary to pancreatitis. Report of two cases. 666 98

Acute pancreatitis may present with a wide variety of clinical findings and may mimic other medical or surgical conditions. Three patients with acute pancreatitis are presented with clinical features of intestinal obstruction, perinephric abscess, and severe abdominal pain, respectively. The diagnosis and mode of spread of the inflammatory process in these patients was made by computed tomography. The value of computed tomography in the diagnosis of unusual extrapancreatic manifestations of acute pancreatitis is emphasized.
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PMID:Clinical presentations of acute pancreatitis--the value of computed tomography. 669 23


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