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Related Concept Videos

Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

334
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
334
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

93
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
93
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

72
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
72
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
70
Gastritis-II: Pathophysiology01:17

Gastritis-II: Pathophysiology

250
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
250

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Sodium Taurocholate Induced Severe Acute Pancreatitis in C57BL/6 Mice
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Acute pancreatitis due to fishbone.

Ana Díaz Granados1, Pablo Dabán López2, Francisco Javier Jurado Prieto3

  • 1General and Digestive Surgery, Hospital Clínico Universitario San Cecilio , España.

Revista Espanola De Enfermedades Digestivas
|December 4, 2024
PubMed
Summary

A fishbone lodged in the pancreas caused severe abdominal pain and acute pancreatitis in a patient. Surgical exploration confirmed the fishbone, leading to successful treatment and recovery.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Abdominal Imaging

Background:

  • Foreign body ingestion can lead to severe intra-abdominal complications.
  • Gastric perforation and acute pancreatitis are critical surgical emergencies.
  • Diagnosis can be challenging, especially with atypical presentations.

Purpose of the Study:

  • To report a rare case of acute pancreatitis secondary to a fishbone foreign body penetrating the pancreas.
  • To highlight the diagnostic challenges and surgical management of such cases.
  • To emphasize the importance of thorough intraoperative exploration in suspected foreign body injuries.

Main Methods:

  • Case report of a 68-year-old female with severe abdominal pain.
  • Diagnostic workup included laboratory tests (amylase, lipase, leukocytosis) and CT scan.
  • Surgical management involved initial laparoscopy followed by laparotomy for foreign body retrieval.

Main Results:

  • CT scan suggested acute pancreatitis or gastric perforation, with a foreign body in the pancreas.
  • Laparoscopic exploration revealed pancreatic hematoma and necrosis, but no foreign body.
  • Subsequent laparotomy identified and removed a 15mm fishbone from the pancreatic parenchyma.
  • Patient experienced delayed recovery due to paralytic ileus and ulcerative colitis flare-up.

Conclusions:

  • Fishbone ingestion can cause severe pancreatitis and requires high clinical suspicion.
  • CT imaging is crucial but may not always visualize the foreign body.
  • Intraoperative palpation is essential for definitive diagnosis and foreign body removal in challenging cases.