Erkut ETÇİOĞLU, Büşra ÖZOĞLU, İhsan SARIKAYA, Ahmet TÜRKMEN, Fatih YILDIZ, Abdülkadir AYDIN

Pediatrik Popülasyonda Nadir Bir Karın Ağrısı Nedeni Akut Pankreatit: Olgu Sunumu

Karın ağrısı şikayeti çocukluk çağında poliklinik ve acil servis başvurularının en sık nedenlerinden biri olup pankreasla ilgili patolojiler nadir olarak gözükmektedir. Pankreas hasarı, diyabet, apseleşme, psödokist, sepsis ve nekroz gibi çok önemli komplikasyonları olması nedeniyle akut pankreatitin karın ağrısı ile başvuran hastalarda ayırıcı tanıda yer alması çok önemlidir. Bu olguda karın ağrısı şikayeti ile acil servise başvuran ve akut pankreatit tanısı alan hasta sunulmuştur.

Anahtar Kelimeler:

akut pankreatit, safra kesesi, karın ağrısı, çocuk

A Rare Cause of Abdominal Pain in Pediatric Population Acute Pancreatitis: A Case Report

Abdominal pain is one of the most common causes of outpatient clinic and emergency room admissions in childhood, and pancreatic pathologies are rare. It is very important to include acute pancreatitis in the differential diagnosis of patients presenting with abdominal pain, since it has very important complications such as pancreatic damage, diabetes, abscess, pseudocyst, sepsis and necrosis. In this case, a patient who was admitted to the emergency department with abdominal pain and diagnosed with acute pancreatitis is presented.

Keywords:

Acute Pancreatitis, Gall bladder, Abdominal pain, Child,

PDF

___

Taşar M.A. Çocuklarda karın ağrısı nedenlerinin değerlendirilmesi. Gülhane Tıp Dergisi. 2005; 47(3):199 - 203.
Lopez M. The changing incidence of acute pancreatitis in children: a single-institution perspective. J of Pediatr. 2002; 140(5):622–24.
Robertson MA. Acute and chronic pancreatitis. In: Walker WA, Durie PR, Hamilton JR, Walker-Smith WA, Watkins JB, editors. Pediatric Gastrointestinal Disease Pathophysiology, Diagnosis, Management. 3 rd ed. Philadelphia: B.C. Decker. 2000; 1321-44.
Park A, Latif SU, Shah AU, Tian J, Werlin S, Hsiao A, et al. Changing referral trends of acute pancreatitis in children: A 12-year single-center analysis. J Pediatr Gastroenterol Nutr. 2009; 49:316-22.
Uc A, Husain S.Z. Pancreatitis in Children. Gastroenterology. 2019; 156(7):1969-1978. doi: 10.1053/j.gastro.2018.12.043. Epub 2019 Feb 1. PMID: 30716320; PMCID: PMC6730664.
Loening-Baucke V, Swidsinski A. Constipation as cause of acute abdominal pain in children. J Pediatr. 2007; 151(6):666-9
Nydegger A, Couper R.T.L, Oliver M.R. Childhood pancreatitis. Journal of Gastroenterology and Hepatology. 2006; 21: 499-509.
Bai, Harrison X*; Lowe, Mark E†; Husain, Sohail Z* What Have We Learned About Acute Pancreatitis in Children? Journal of Pediatric Gastroenterology and Nutrition: March 2011 - Volume 52 - Issue 3 - p 262-270.
Park AJ, Latif SU, Ahmad MU, et al. A comparison of presentation and management trends in acute pancreatitis between infants/toddlers and older children. J Pediatr Gastroenterol Nutr. 2010; 51:167–70.
Russell MK. Acute pancreatitis: a review of pathophysiology and nutrition management. Nutr. Clin. Pract. 2004; 19: 16–24.
Golub R, Siddiqi F, Pohl D. Role of antibiotics in acute pancreatitis: a meta-analysis. J. Gastrointest. Surg. 1998; 2: 496–503.
Abu-El-Haija M, Lin TK, Khan S, et al. Predictive biomarkers for acute gallstone pancreatitis in the pediatric population. Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et al.]. 2018 May. DOI: 10.1016/j.pan.2018.05.484.
Kate M Ellery, Soma Kumar, Wallace Crandall, Cherly Gariepy: The Journel of Pediatry. 2017;191: 164-169. doi: 10.1016/j.jpeds.2017.08.032.