A misunderstood intestinal perforation believed acute pancreatitis: a case report

Antonio Marrazzo, Giuseppe Buscemi, Antonino Sammartano, Attilio Ignazio Lo Monte, Vincenzo Davide Palumbo, Giuseppe Damiano, Salvatore Buscemi, Giovanni Tomasello, Emanuele Sinagra, Salvatore Fazzotta, Giovanni Tomasello, Vincenzo Davide Palumbo, Carolina Maione, Gabriele Spinelli, Silvia Ficarella

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Acute pancreatitis represents one, possible but rare, of the several complications of laparoscopic cholecystectomy. In the case reported, a 31-year-old female patient complained of abdominal pain after laparoscopic cholecystectomy. The clinical picture, the high values of serum amylase, lipase and white blood cell count and the subsequent abdominal computed tomography (CT) led to diagnose an acute biliary pancreatitis. This was pharmacologically treated, but the patient worsened in a few days. A contrastenhanced CT showed the presence of free air and effusion into the peritoneal cavity. The patient was submitted to another intervention, which revealed a 1-cm jejunal perforation. The injured loop was then repaired and the patient discharged after three days. The cause remains obscure but it was likely due to umbilical trocar insertion. An upper quadrant abdominal pain with elevated amylase and lipase serum concentration, not always indicate the presence of an acute pancreatitis but could be associated to a difficult case of intestinal perforation.
Original languageEnglish
Pages (from-to)437-441
Number of pages5
JournalActa Medica Mediterranea
Volume31
Publication statusPublished - 2015

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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