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Distinguishing Acute Pancreatitis From Refractory Peritonitis in Peritoneal Dialysis: A Case Report
Joaquim Milheiro1, Raquel Pinto1, Cátia Pêgo1
1Nephrology Department, Unidade Local de Saúde (ULS) Viseu Dão-Lafões, Viseu, PRT.
Peritoneal dialysis (PD) patients face a higher risk of acute pancreatitis. This case highlights the importance of monitoring peritoneal effluent in patients with chronic kidney disease (CKD) to detect this rare complication.
Area of Science:
- Nephrology
- Gastroenterology
- Internal Medicine
Background:
- Patients on peritoneal dialysis (PD) have an increased risk of acute pancreatitis.
- Acute pancreatitis in PD patients is rare, potentially fatal, and its mechanisms are poorly understood.
- Chronic kidney disease (CKD) patients, particularly those with autosomal dominant polycystic kidney disease, are susceptible.
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Chronic Pancreatitis I: Introduction
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...
Acute Pancreatitis I: Introduction
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: