Rory James McCluskey, Jessie Elliott, Jan Leyden, John Conneely, Gerry McEntee, Suzanne O'Mahony, Niall McInerney
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引用次数: 0
Abstract
A previously well 43-year-old men was admitted with right upper quadrant and epigastric pain, fever and vomiting. His medical history included asymptomatic cholestatic liver function tests for which serial ultrasound (US), magnetic resonance cholangiopancreatography, fibroscan and a US-guided liver biopsy had proved unremarkable several years prior to this presentation. Physical examination revealed diffuse abdominal tenderness worst in the right upper quadrant and epigastric region. Laboratory investigations demonstrated raised inflammatory markers and deranged liver function but were otherwise unremarkable. CT of the abdomen and pelvis showed extensive pancreatic stranding and fluid most prominent around the tail and body of the pancreas. The patient had no history of gallstones, alcohol misuse, new medications, family history or hypercholesterolemia. The patient was managed conservatively but subsequently deteriorated with features of abdominal sepsis. Serial …
一名 43 岁的男性因右上腹和上腹痛、发烧和呕吐入院。他的病史包括无症状性胆汁淤积性肝功能检查,在这次就诊前的几年里,连续的超声波(US)、磁共振胆胰造影、纤维扫描和 US 引导下的肝活检均未发现异常。体格检查显示,右上腹和上腹部弥漫性压痛最严重。实验室检查显示炎症标志物升高,肝功能异常,但其他方面无异常。腹部和盆腔CT显示,胰腺尾部和胰体周围有广泛的胰腺绞窄和积液。患者没有胆结石史、酗酒史、新服药史、家族史或高胆固醇血症史。患者接受了保守治疗,但随后病情恶化,出现腹腔败血症特征。连续...
期刊介绍:
Frontline Gastroenterology publishes articles that accelerate adoption of innovative and best practice in the fields of gastroenterology and hepatology. Frontline Gastroenterology is especially interested in articles on multidisciplinary research and care, focusing on both retrospective assessments of novel models of care as well as putative future directions of best practice. Specifically Frontline Gastroenterology publishes articles in the domains of clinical quality, patient experience, service provision and medical education.