Pancreatitis aguda complicada: pseudoquiste pancreatico

Abstract

The aim of this study was to present a patient who has been diagnosed with acute pancreatitis (BP) complicated with pancreatic pseudo-cyst. The BP is suffering from abdominal pain of great intensity, which radiates in the form of a belt towards the back and is accompanied by nausea and vomiting. Biliary lithiasis is the first cause, and obesity is a great risk factor. Laboratory tests are of great help, highlighting hematic biometrics with elevation of leukocytes, in blood chemistry, lipase and amylase help us establish the diagnosis, without mentioning imaging tests, including ultrasound and CT scan. (CAT) that help us assess the size of the gland and the presence of collections. In the prognostic and severity scales we have the BISAP, Ranson, Apache II as the main ones, to all these is added the Balthazar classification that predicts morbidity and mortality. Several local complications such as the pancreatic pseudo-cyst may occur. The treatment focuses on general measures, analgesia, and hydration with colloids and in the case of complications it could be carried out according to the need for percutaneous drainage by echo-endoscopy. A clinical case of a 55-year-old male patient is presented, with a history of grade II obesity that presents abdominal pain of great intensity located in the epigastrium that radiates to the back to which laboratory tests are performed, presents elevated leukocyte values, amylase and lipase, with BISAP 2, and Apache 9 already in the internal medicine floor where they perform other examinations diagnosing PA.