Acute Necrotic-Hemorrhagic Pancreatitis in a 2 Year Old Girl at Kampala International University Teaching Hospital (Uganda): Case Report
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 2
Abstract
Acute necrotic-hemorrhagic pancreatitis is one of the most rare and less remembered causes of acute abdomen in children despite its fatal outcome. We report the case of a 2 year-old girl admitted through accident and emergence department with reported anorexia for 2 weeks, associated with over crying after meals, abdominal distention, vomiting and chills for 2 days. The patient had a temperature of 37.90C, rebound tenderness of the abdomen and absent bowel sounds. Abdominal ultrasonography revealed fluid collection at the pancreatic bed. No focal pancreatic masses or gallstones were reported. Gram staining of peri-pancreatic collection revealed Gram negative rods, whereas its culture revealed Escherichia coli sensitive to gentamycin and ceftriaxone. Other laboratory findings were; hypocalcaemia of 2.0mmol/L, total serum amylase of 350 U/L, Hb of 8.0g/dl and raised ESR of 40mm/hr. Liver and renal function tests were within normal ranges. Enhanced CT scan and serum lipase were unavailable in our settings. We subjected the patient to an emergence exploratory laparotomy. Intraoperative findings were: hemorrhagic ascites, retroperitoneal haematoma, edematous pancreatic body with areas of grey-white necrosis; and steato-necrosis in the omentum and mesentery leading to a diagnosis of acute necrotic-hemorrhagic pancreatitis. We compare the characteristics of our patient with the available data on literature review. Informed consent was sought from the patient’s mother in writing, for the surgery and case documentation. Keywords: Acute-abdomen, Children, Laparotomy, Necrotic-pancreatitis.
Authors and Affiliations
Lule Herman, Ramirez Pirez, Echoru Isaac
Keywords
Related Articles
- EP ID EP372844
- DOI -
- Views 51
- Downloads 0
Computed Tomography Based Study in the Detection and Characterization of Mediastinal Masses: An Institutional Study
Abstract: The cross sectional anatomy of the mediastinum is conveniently described in relation to major structures at each level using computed tomography. Hence CT is a superior modality than plain radiography to charac...
Tranexamic Acid as Anti-Fibrinolytic to Control Blood Loss during Pre and Post Hemiarthoplasty of Trance Cervical Fracture Neck Femur
Major orthopedic surgeries are commonly associated with marked blood loss, which is associated with post operative mortality and morbidity. The causes of bleeding are multifactorial, increased fibrinolytic activity being...
Prevalence of HIV and HBV infection among Voluntary Blood donors at a tertiary care hospital, Vijayawada: A 5 year retrospective study
Human Immunodeficiency virus type 1 (HIV-1) and Hepatitis B virus (HBV) exact a high toll worldwide. Both can lead to chronic disease, cancer and death, and neither can be eradicated with the use of current therapies. Th...
Evaluation of Healing Effects and Anti-Oxidant Activity of Pongamia pinnata seed extract on acetic acid-induced Colitis
The main objective is to evaluate the healing effects of 50% ethanolic extract of dried seeds of Pongamia pinnata on acetic acid-induced colitis in rats. The method is Pongamia pinnata seed extract was administered orall...
Metastatic Seminoma Presenting As Enlarged Neck Node: Diagnosis by Fine Needle Aspiration Cytology
In testicular malignancy, the incidence of neck metastases range from 4.5 to 15% and in an estimated 5% of these cases, a neck mass is the initial presentation. We present a case of testicular seminoma which presented wi...