A misunderstood intestinal perforation believed acute pancreatitis: a case report

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

Risultato della ricerca: Article

2 Citazioni (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.
Lingua originaleEnglish
pagine (da-a)437-441
Numero di pagine5
RivistaActa Medica Mediterranea
Volume31
Stato di pubblicazionePublished - 2015

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Intestinal Perforation
Pancreatitis
Laparoscopic Cholecystectomy
Amylases
Lipase
Abdominal Pain
Tomography
Umbilicus
Peritoneal Cavity
Serum
Leukocyte Count
Surgical Instruments
Air

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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A misunderstood intestinal perforation believed acute pancreatitis: a case report. / Sammartano, Antonino; Tomasello, Giovanni; Marrazzo, Antonio; Buscemi, Giuseppe; Lo Monte, Attilio Ignazio; Buscemi, Salvatore; Damiano, Giuseppe; Palumbo, Vincenzo Davide; Sinagra, Emanuele; Fazzotta, Salvatore; Tomasello, Giovanni; Palumbo, Vincenzo Davide; Maione, Carolina; Spinelli, Gabriele; Ficarella, Silvia.

In: Acta Medica Mediterranea, Vol. 31, 2015, pag. 437-441.

Risultato della ricerca: Article

Sammartano, Antonino ; Tomasello, Giovanni ; Marrazzo, Antonio ; Buscemi, Giuseppe ; Lo Monte, Attilio Ignazio ; Buscemi, Salvatore ; Damiano, Giuseppe ; Palumbo, Vincenzo Davide ; Sinagra, Emanuele ; Fazzotta, Salvatore ; Tomasello, Giovanni ; Palumbo, Vincenzo Davide ; Maione, Carolina ; Spinelli, Gabriele ; Ficarella, Silvia. / A misunderstood intestinal perforation believed acute pancreatitis: a case report. In: Acta Medica Mediterranea. 2015 ; Vol. 31. pagg. 437-441.
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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.",
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AU - Sammartano, Antonino

AU - Tomasello, Giovanni

AU - Marrazzo, Antonio

AU - Buscemi, Giuseppe

AU - Lo Monte, Attilio Ignazio

AU - Buscemi, Salvatore

AU - Damiano, Giuseppe

AU - Palumbo, Vincenzo Davide

AU - Sinagra, Emanuele

AU - Fazzotta, Salvatore

AU - Tomasello, Giovanni

AU - Palumbo, Vincenzo Davide

AU - Maione, Carolina

AU - Spinelli, Gabriele

AU - Ficarella, Silvia

PY - 2015

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AB - 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.

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