Résumé
Isolated cases and small series of acute pancreatitis complicating viral infections have been reported. However, data on the natural history of such patients are sparse. We report a series of five patients of acute pancreatitis complicating diverse viral infections. During follow-up ranging from 6 to 36 months, two of these five patients developed evidence of chronic pancreatitis.
Sujets)
Douleur abdominale/sang , Maladie aigüe , Adolescent , Adulte , Amylases/sang , Maladie chronique , Évolution de la maladie , Femelle , Études de suivi , Humains , Mâle , Adulte d'âge moyen , Pancréatite/sang , Échographie , Maladies virales/complicationsSujets)
Sujet âgé , Femelle , Humains , Douleur abdominale/anatomopathologie , Flutter auriculaire , Diabète/anatomopathologie , Hypertension artérielle/anatomopathologie , Hypertrophie ventriculaire gauche/anatomopathologie , Autopsie , Douleur abdominale/sang , Douleur abdominale/traitement médicamenteux , Glycémie/analyse , Cardiomyopathie hypertrophique/sang , Cardiomyopathie hypertrophique/traitement médicamenteux , Cardiomyopathie hypertrophique/anatomopathologie , Cholestérol/sang , Créatine/sang , Diabète/sang , Diabète/traitement médicamenteux , Issue fatale , Hypertension artérielle/sang , Hypertension artérielle/traitement médicamenteux , Hypertrophie ventriculaire gauche/traitement médicamenteux , Effort physique , Choc septique/étiologie , Triglycéride/sang , Infections urinaires/étiologieRésumé
A 90-year-old man admitted to our hospital for recuperation after heart failure was found to have raised platelet count and a normocytic anemia. He then developed an acute abdomen and died. Post-mortem examination revealed ruptured superior mesenteric artery aneurysm. Reactive thrombocytosis and anemia were probably the only indication of
Sujets)
Douleur abdominale/sang , Sujet âgé , Sujet âgé de 80 ans ou plus , Anémie/sang , Rupture d'anévrysme/sang , Diagnostic différentiel , Humains , Mâle , Artère mésentérique supérieure/traumatismes , Numération des plaquettes , Rupture spontanée/sang , Thrombocytose/sangRésumé
Plasma cholecystokinin levels were measured in children with recurrent abdominal pain to investigate the relationship of plasma cholecystokinin levels with colonic transit patterns and clinical symptoms. Subjects consisted of 120 children (mean age 9.6 +/- 2.6 years) for whom colonic transit study had also been done. Plasma cholecystokinin levels were 79.2 +/- 58.7 pg/mL in children with colonic inertia, 70.7 +/- 47.0 pg/mL in hindgut dysfunction, 57.4 +/- 53.1 pg/mL in pelvic outlet obstruction, and 67.6 +/- 47.9 pg/mL in normal colonic transit. These data showed that there was a tendency of increasing plasma cholecystokinin levels in children with proximal colon transit delay, although there was no significant difference among four groups. Plasma cholecystokinin levels in children of 10 years of age and under (54.5 +/- 40.4 pg/mL) were significantly lower (p = 0.01) than in children over 10 years (79.1 +/- 59.8 pg/mL). Plasma cholecystokinin levels based on colonic transit patterns, however, were not significantly different between the two age groups. There was no significant difference in plasma cholecystokinin levels between groups based on defecation frequency per week, presence of defecation pain, symptoms of milk intolerance, or the presence of emotional stress. These results suggested that there was a tendency of increasing plasma cholecystokinin levels in the younger age group and in children with delay in proximal colonic transit, but further study is required in relation to plasma cholecystokinin levels based on colonic transit patterns in a large number of patients.