Document Detail


Acute pancreatitis complicated with periappendicitis.
MedLine Citation:
PMID:  12636209     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Colonic complications of severe acute pancreatitis are quite uncommon and always occur in the transverse colon and splenic flexure. Here we report the case of a 47-year-old male with mild acute pancreatitis (Ranson's score 1) who suffered from acute right lower quadrant pain during hospitalization. After conservative treatment failed, he underwent open appendectomy under the impression of acute appendicitis. However, the pathology revealed only periappendicitis. Small bowel ileus was noted on plain film of the abdomen and a high ascitic lipase level was found during operation suggesting that the periappendicitis resulted from the spreading of the pancreatic inflammatory exudate via the small bowel mesentery route. This report suggests that although rare, periappendiceal involvement mimicking acute appendicitis remains possible in even mild acute pancreatitis.
Authors:
Hsiao-Chung Hsia; Lie-Kai Shoung; Mei-Ling Chen; David W Wong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Zhonghua yi xue za zhi = Chinese medical journal; Free China ed     Volume:  65     ISSN:  0578-1337     ISO Abbreviation:  Zhonghua Yi Xue Za Zhi (Taipei)     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2003-03-14     Completed Date:  2003-03-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0005327     Medline TA:  Zhonghua Yi Xue Za Zhi (Taipei)     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  619-21     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Puli Christian Hospital, Nantou, Taiwan, ROC. hch918@tcts.seed.net.tw
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Appendicitis / etiology*
Humans
Male
Middle Aged
Pancreatitis / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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