A MISUNDERSTOOD INTESTINAL PERFORATION BELIEVED ACUTE PANCREATITIS: A CASE REPORT

作者：Palumbo Vincenzo Davide^*; Tomasello Giovanni; Damiano Giuseppe; Spinelli Gabriele; De Luca Salvatore; Ficarella Silvia; Maffongelli Angela; Fazzotta Salvatore; Buscemi Salvatore; Marrazzo Antonio; Maione Carolina; Buscemi Giuseppe; Di Carlo Giovanni; Sammartano Antonino; Sinagra Emanuele; Lo Monte Attilio Ignazio

来源：Acta Medica Mediterranea, 2015, 31(2): 437-441.

• Cholecystectomy
• intestinal perforation
• pancreatitis

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 could 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 contrast-enhanced CT showed the presence of free air and effusion into the peritoneal cavity. The patient was submitted to another intervention, which revealed a I-cm jejuna( 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 he associated to a difficult case of intestinal perforation.

• 出版日期2015