Ahmet BAYDIN, Selim GENC, Dursun AYGUN, Arif Onur EDEN, Turker YARDAN, Muzaffer BAHCİVAN

Akut aort diseksiyonu sonrasında gelişen akut pankreatitli bir olgunun sunumu ve literatürün gözden geçirilmesi

Akut aort diseksiyonu (AAD) nadir görülen ve mortalitesi yüksek bir klinik tablodur. Erken teşhis ve tedavi mortalitenin azaltılmasında önemlidir. Klasik olarak AAD ani ve şiddetli göğüs ağrısı, sırt ağrısı veya karın ağrısı ile karakterizedir. Ancak AAD'lu hastalar diseksiyonun bulunduğu bölgeye bağlı olarak çok farklı klinik bulgularla başvurabilirler. Bu çalışmadaki amacımız AAD'nun nadiren de olsa gastrointestinal semptomlara neden olabileceğini vurgulamaktır. Bu yazıda karın ağrısı şikayeti ile acil servise başvuran ve akut pankreatite neden olan AAD'lu bir olgu sunulmuştur.©2008, Ondokuz Mayıs Üniversitesi, Tıp Fakültesi

Anahtar Kelimeler:

Akut pankreatit, aort diseksiyonu, gastrointestinal komplikasyon

Acute Pancreatitis After Acute Aortic Dissection: Report of a Case and Review of the Literature

Acute aortic dissection (AAD) is an uncommon clinical picture with a high mortality rate. Early diagnosis and treatment are important in decreasing the mortality. Clasically, AAD is characterized by a severe sudden onset pain of the chest, back, and abdomen. However, the patients with AAD may admit with a variety of different clinical findings as due to level of dissection in the aorta. In this study, our aim is to emphasize that the ADD rarely will cause gastrointestinal symptoms. In this paper, we reported a case of ADD caused acute pancreatitis, presenting in emergency department with abdominal pain.©2008, Ondokuz Mayis University, Medical Faculty.

Keywords:

-,

PDF

___

Nienaber CA, Eagle KA. Aortic dissection: new frontiers in diagnosis and management, Part I: from etiology to diagnostic strategies. Circulation 2003; 108: 628–635.
Olin JW, Fuster V. Acute aortic dissection: the need for rapid, accurate, and readily available diagnostic strategies. Arterioscler Thromb Vasc Biol 2003; 23: 1721–1723.
O’Dell KB, Hakim SN. Dissecting thoracic aortic aneurysm in a 22-year-old man. Ann Emerg Med 1990; 19: 316–318.
Elloway RS, Mezwa DG, Alexander T. Foregut ischemia and odynophagia in a patient with a type III aortic dissection. Am J Gastroenterol 1992; 87: 790–793.
Khan IA, Nair CK. Clinical, Diagnostic, and Management Perspectives of Aortic Dissection. Chest 2002; 122: 311-328.
Kawano H, Tomichi Y, Fukae S, et al. Aortic Dissection Associated with Acute Myocardial Infarction and Stroke Found at Autopsy. Internel Medicine 2006; 45: 957–962.
Morita S, Shibata M, Nakagawa Y, Yamamoto I, Inokuchi S. Painless Acute Aortic Dissection With a Left Hemiparesis. Neurocritical Care 2006; 4: 234–236.
Baydin A, Nargis C, Nural MS, et al. Painless, Acute Aortic Dissection Presenting as an Acute Stroke. MT Sinai J Med 2006; 73: 1129–1131.
Pombo F, Marini M, Beraza A, Rodriquez E. Aortic Dissection Presenting as Acute Pancreatitis: CT Diagnosis. Comput Med Imaging Graph 1991; 15: 407-409.
Goff WB, Lawrence DP, Burkhard TK. Aortic dissection in acute pancreatitis. J Am Osteopath Assoc 1992; 92: 921–923.
Burkey SH, Valentine RJ, Jackson MR, Modrall JG, Clagett GP. Acute pancreatitis after abdominal vascular surgery. J Am Coll Surg 2000; 191: 373-380.
Halm MA. Acute gastrointestinal complications after cardiac surgery. Am J Crit Care 1996; 5: 109-118.
Yadav D, Nair S, Norkus EP, Pitchumoni CS. Nonspesific hyperamylasemia and hyperlipasemia in diabetic ketoacidosis: incidence and correlation with biochemical abnormalities. Am J Gastroenterol 2000; 95: 3123-3128.
Vissers RJ, Abu-laban RB, Mchugh DF. Amylase and Lipase in the emergency department: evaluation of acute pancreatitis. J Emerg Med 1999; 17: 1027-1037.
Kabul Tarihi:05.11.2007