Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0030305 (pancreatitis)
 16,014 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The differential diagnosis of radiographic homogeneous opacities in the lower thorax and upper abdomen is very often a dilemma for radiologists. Recently we have encountered the following 8 cases in which the correct radiologic diagnoses (confirmed pathologically) were made only by computed tomography: pyogenic liver abscesses (2 cases), subphrenic hematoma, pancreatitis with pseudocyst, adrenal cortical carcinoma, ovarian carcinoma with liver metastasis, lower lobe pulmonary infarction, and metastatic breast cancer in the peri-esophageal region. The CT findings displayed not only the anatomic location and extent of these lesions but also the unique characteristics of many of the pathologic processes that produce these otherwise nonspecific radiographic opacities. It is our purpose here to demonstrate the CT findings in such patients and to advocate CT study as a very effective diagnostic modality in those patients who present with radiographic homogeneous opacities in the lower thorax and upper abdomen.
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PMID:Application of computed tomography in differential diagnosis of radiographic opacities in the lower thorax and upper abdomen. 734 73

A 48-year-old man was admitted for the evaluation of a massive left pleural effusion. Thoracenthesis yielded a bloody excudate with a high percentage of eosinophils (27%) and high values of pancreatic enzymes (amylase 16,000 Somogyi, Elastase 35,000 ng/dl, Lipase 12,800 U/l, Trypsin 77,000 ng/ml). The amylase isozyme of the exudate was 100% pancreatic-type fraction. The blood showed no eosinophilia (4%). A computed tomographic scan and magnetic resonance image of the abdomen revealed a pancreatic pseudocyst in contact with the diaphragm, and thrombi in the inferior vena cava and the splenic vein. After pancreatic cystectomy and splenectomy, the pleural effusion resolved rapidly. Eosinophilic pleural effusion has been reported as a complication of several disorders: pneumonia, lung carcinoma, pulmonary tuberculosis, and pulmonary infarction. However, we know of no previous report of eosinophilic pleural effusion with pancreatitis. In this case, it is interesting that the massive eosinophilic pleural effusion associated with chronic pancreatitis resolved immediately after the operation, and the patient was discharged.
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PMID:[A case of chronic pancreatitis with eosinophilic pleural effusion]. 766 23