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Acute Pancreatitis Induced by Diabetic Ketoacidosis with Major Hypertriglyceridemia: Report of Four Cases
المؤلفون المشاركون
Bahloul, Mabrouk
Bouaziz, Mounir
Bouchaala, Karama
Bradii, Sabrine
Kallel, Hela
Chtara, Kamilia
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-04-04
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Acute pancreatitis (AP) is a real clinical challenge.
Acute pancreatitis remains a common cause of emergency department consultations and a major cause for hospitalization.
Gallstones and drinking a lot of alcohol are the most frequent causes of AP.
Moreover, AP can be induced by diabetic ketoacidosis (DKA) complicated by hypertriglyceridemia.
We report 4 cases of DKA with hypertriglyceridemia complicated by AP in previously undiagnosed diabetes patients.
All of our patients presented to the emergency ward with abdominal pain.
Their physical exam showed epigastric tenderness.
An abdominal CT scan was performed for each patient, showing an AP grade E.
Laboratory samples showed high serum glucose levels.
They had metabolic acidosis with elevated anion gap.
They had high lipasemia and amylasemia.
Their lipid panel was disturbed with a high level of cholesterol (from 12.8 mmol/l to 33 mmol/l) and triglyceridemia (from 53 to 133 mmol/l).
Our patients were admitted into our ICU where they received fluid resuscitation and intravenous insulin, and their triglycerides rates decreased gradually.
Two patients recovered to a good health state, and the two others developed septic shock, requiring the use of large-spectrum antibiotics, and acute kidney injury (AKI) with refractory metabolic acidosis, requiring hemodialysis.
Despite the intensive treatment, they developed an unrecoverable multiorgan failure.
Through our case series, we aim to highlight the importance of making an early diagnosis, which can be difficult in some situations due to overlapping signs; however, it is crucial for a good recovery.
A good understanding of the pathway of hypoinsulinemic states causing hypertriglyceridemia then AP is important because it is the key to best management.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bouchaala, Karama& Bahloul, Mabrouk& Bradii, Sabrine& Kallel, Hela& Chtara, Kamilia& Bouaziz, Mounir. 2020. Acute Pancreatitis Induced by Diabetic Ketoacidosis with Major Hypertriglyceridemia: Report of Four Cases. Case Reports in Critical Care،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1146296
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bouchaala, Karama…[et al.]. Acute Pancreatitis Induced by Diabetic Ketoacidosis with Major Hypertriglyceridemia: Report of Four Cases. Case Reports in Critical Care No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1146296
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bouchaala, Karama& Bahloul, Mabrouk& Bradii, Sabrine& Kallel, Hela& Chtara, Kamilia& Bouaziz, Mounir. Acute Pancreatitis Induced by Diabetic Ketoacidosis with Major Hypertriglyceridemia: Report of Four Cases. Case Reports in Critical Care. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1146296
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1146296
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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