ABSTRACT
Objective To explore the clinical feature diagnosis and therapy of 16 patients with HBV liver cirrhosis concomitant with acute pancreatitis. Methods Retrospective analysis of the clinical data including symptoms and signs, laboratory findings, therapy, progress of the illness and prognosis. Results All patients had abdominal pain and tenderness pain to some degree, changes of pancreas ultrasonogram and CT were found in all patients. Nausea and vomiting, radiating pain, muscle guarding, fever and high level of serum amylase and white blood cells were seldom found. The ratio of neutrocyte and white blood cells was high in all patients. All patients adopted surgical therapy died. Pancreatitis often relapsed and damage of liver was severe. Conclusions The clinical manifestations of liver cirrhosis concomitant with acute pancreatitis are atypical. It is necessary to combine with the symptoms, signs and labotatory finds for making a right diagnosis and employing the non-surgical treatment. Patients with that illness have poor progress and prognosis.