Severe Acute Pancreatitis after Surgical Treatment of a Ruptured Abdominal Aortic Aneurysm

Drissi, M.; Madani, M.; Hatim, A.; Ibat, D.; Athmani, Mohammed; Taberkant, M.; Houssa, Mahdi Ait; Alaoui, M.; Boulahya, A.

doi:10.1016/j.avsg.2009.06.026

Cited by 10 publications

(8 citation statements)

References 6 publications

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“…Patients developing IP have been reported in cases with clinically significant AP and have shown convincingly that this is one of the known causes of AP 5–17. The only case series previously describing IP consisted of 11 patients from a tertiary referral center in Germany 5.…”

Section: Discussionmentioning

confidence: 99%

“…Ischemic pancreatitis (IP) is a poorly defined clinical condition and there is no consensus on diagnostic criteria. Most of the literature on IP is based on case reports with a large variety of causes of IP 3–17. The largest study published to date is a study of patients with IP from a surgical department in Germany with 11 patients with IP of different underlying conditions 5.…”

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confidence: 99%

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Ischemic Pancreatitis Is an Important Cause of Acute Pancreatitis in the Intensive Care Unit

Baldursdottir

Andresson²,

Jonsdottir³

et al. 2021

Journal of Clinical Gastroenterology

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Background: Ischemic pancreatitis (IP) has mainly been described in case reports. The aims of the study were to assess the frequency, clinical characteristics and outcomes in patients with IP among patients hospitalized in the intensive care unit (ICU) for acute pancreatitis (AP).Methods: All patients with first time AP between 2011 and 2018 in the ICU of Landspitali Hospital, Iceland were retrospectively included. IP as an etiology required a clinical setting of circulatory shock, arterial hypotension, hypovolemia and/or arterial hypoxemia [PaO 2 of 60 mm Hg (8.0 kPa), or less] before the diagnosis of AP without prior history of abdominal pain to this episode. Other causes of AP were ruled out. IP patients were compared with patients with AP of other etiologies, also hospitalized in the ICU.Results: Overall 67 patients with AP were identified (median age 60 y, 37% females), 31% idiopathic, 24% alcoholic, 22% IP, 15% biliary, and 8% other causes. Overall, 15 (22%) fulfilled the predetermined criteria for IP, 9 males (64%), median age 62 years (interquartile range: 46 to 65). IP was preceded mainly by systemic shock (73%). Other causes included dehydration, hypoxia, or vessel occlusion to the pancreas. Necrosis of the pancreas was rare with one patient requiring pancreatic necrosectomy. Inpatient mortality was higher among patients with IP than in other patients with AP (33% vs. 14%, P = 0.12).Conclusions: IP was found in a significant proportion of AP patients hospitalized in the ICU. The main causes of IP were systemic shock and hypoxia. IP was associated with ∼30% mortality.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Ischemic Pancreatitis Is an Important Cause of Acute Pancreatitis in the Intensive Care Unit

Baldursdottir

Andresson²,

Jonsdottir³

et al. 2021

Journal of Clinical Gastroenterology

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“…Shock, vascular occlusion in mesenteric vessels, cardiac arrest and cardiovascular surgery may lead acute ischemic pancreatitis (Gullo et al, 1996;Sakorafas et al, 2000;Piton et al, 2008;Drissi et al, 2009;Hackert et al, 2009;Piton et al, 2010). Ischemic AP frequency is estimated between 5% to 8% in literature (Warshaw and O'Hara, 1978;Sakorafas et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

Silent ischemic pancreatitis following urosepsis

Aktaş

Duran²,

Alçelik³

et al. 2013

jecm

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Article HistoryReceived 24 / 04 / 2012 Accepted 09 / 05 / 2012Pancreatic ischemia is an uncommon cause of acute pancreatitis. Ischemia with resultant pancreatitis has been reported in vasculitis, atheroembolism, intraoperative hypotension, survivors of cardiac arrest and hemorrhagic shock. Ischemic acute pancreatitis is difficult to recognize clinically. In this report we present a 63 year old woman with painless ischemic pancreatitis following urosepsis. We suggest that if a critically ill patient is hypotensive for more than 24-48 hours, amylase levels must be monitored to establish ischemic acute pancreatitis (AP) even if the patient remains asymptomatic.

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“…Also, it is caused by iatrogenic causes such as ERCP, pancreatic resections, bowel surgery, splenectomy and cardiac surgery. [1][2][3][4][5] Although several cases are reported in the medical literature, this is the first documented case in Sri Lanka.…”

Section: Introductionmentioning

confidence: 99%

A rare case of pancreatitis following scoliosis correction

Hewavitharane

Jayathilaka

2020

Sri Lankan J Anaesthesiol

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Acute pancreatitis following major spinal surgery is a rare potential complication. Several mechanisms such as positioning, intraoperative haemodynamic instability, mechanical compression and prolonged surgery can contribute to it. This should be suspected in a patient presenting with gastrointestinal symptoms, signs and raised serum amylase or lipase. Our case report is of a young patient with low BMI developing postoperative acute pancreatitis after single stage correction of right thoracic idiopathic scoliosis at National Hospital of Sri Lanka. Early identification of complications plays a key role in preventing severe morbidity after scoliosis surgery. When symptoms and signs are suggestive of abdominal complications, biochemical markers have to be analyzed for prompt diagnosis. Multidisciplinary approach and imaging are further steps in the differential diagnosis and management of this rare complication.

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Severe Acute Pancreatitis after Surgical Treatment of a Ruptured Abdominal Aortic Aneurysm

Cited by 10 publications

References 6 publications

Ischemic Pancreatitis Is an Important Cause of Acute Pancreatitis in the Intensive Care Unit

Ischemic Pancreatitis Is an Important Cause of Acute Pancreatitis in the Intensive Care Unit

Silent ischemic pancreatitis following urosepsis

A rare case of pancreatitis following scoliosis correction

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