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Experimental and Clinical Gastroenterology

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Clinical observation of a middle-aged patient with a masked course of pancreatic necrosis observed on an outpatient basis

https://doi.org/10.31146/1682-8658-ecg-204-8-198-205

Abstract

Objective. On the example of a clinical case, the difficulties of timely diagnosis of acute pancreatitis are considered. Main points. Acute pancreatitis is an actual problem of modern medicine due to its wide prevalence and high mortality rates. A clinical observation of a 48-year-old patient with dyspeptic complaints and intestinal manifestations is presented. Conclusion. The presented clinical case illustrates not only the difficulty of timely diagnosis of acute pancreatitis, but also confirms that patients with existing pain, dyspeptic and asthenovegetative syndromes after a viral intestinal infection require special attention and are at risk of developing acute pancreatitis.

About the Authors

D. G. Karpenko
Pirogov Russian National Research Medical University
Russian Federation


V. V. Dryutova
Pirogov Russian National Research Medical University
Russian Federation


V. N. Larina
Pirogov Russian National Research Medical University
Russian Federation


E. V. Fedorova
Pirogov Russian National Research Medical University
Russian Federation


References

1. Revishvili A. Sh., Olovyanny V. E., Sazhin V. P., Nechaev O. I., Zakharova M. A., Shelina N. V., Mironova N. L. Surgical care in the Russian Federation. Moscow, 2019, 136 P. (in Russ.)@@ Ревишвили А. Ш., Оловянный В. Е., Сажин В. П., Нечаев О. И., Захарова М. А., Шелина Н. В., Миронова Н. Л. Хирургическая помощь в Российской Федерации. - М., 2019, с. 136. ISBN 978-5-6043874-0-5.

2. Skutova V.A., Danilov A. I., Feoktistova Z. A. Acute pancreatitis: Topical issues of diagnosis and complex treatment. Bulletin of the Smolensk State Medical Academy. 2016.15(2):78-84. (in Russ.)@@ Скутова Валерия Александровна, Данилов Андрей Игоревич, Феоктистова Жанна Алексеевна. «Острый панкреатит: Актуальные вопросы диагностики и комплексного лечения». Вестник Смоленской государственной медицинской академии. 2016. 15(2):78-84.

3. Grishin A. V. Emergency conditions and clinical masks of acute pancreatitis: basic principles of diagnostics and treatment.Russian Journal of Evidence-Based Gastroenterology. 2013;(1):28-35. (In Russ.)@@ Гришин А. В. Неотложные состояния и клинические маски острого панкреатита: основные принципы диагностики и лечения. Доказательная гастроэнтерология. 2013;(1):28-35.

4. Clinical guidelines. Acute pancreatitis. 2020. pp. 1-63. (in Russ.)@@ Клинические рекомендации - Острый панкреатит - 2020. С. 1-63.

5. Li Fei, Cai Shouwang, Cao Feng, et al. Guidelines for the diagnosis and treatment of acute pancreatitis in China (2021). Journal of Pancreatology. June 2021;4(2):67-75. doi: 10.1097/JP9.0000000000000071.

6. Lippi G., Valentino M., Cervellin G. Laboratory diagnosis of acute pancreatitis: in search of the holy grail. Crit Rev Clin Lab Sci. 2012;49:18-31. doi: 10.3109/10408363.2012.658354.

7. Leppäniemi A., Tolonen M., Tarasconi A., et al. 2019 WSES guidelines for the management of severe acute pancreatitis. World J Emerg Surg. 2019 Jun 13;14:27. doi: 10.1186/s13017-019-0247-0.


Review

For citations:


Karpenko D.G., Dryutova V.V., Larina V.N., Fedorova E.V. Clinical observation of a middle-aged patient with a masked course of pancreatic necrosis observed on an outpatient basis. Experimental and Clinical Gastroenterology. 2022;(8):198-205. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-204-8-198-205

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