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Gallstone Pancreatitis: A Common but Often Overlooked Cause of Abdominal Pain in Post-Liver-Transplant Patients
Joint Authors
Lapumnuaypol, Kamolyut
Fatima, Sanna
Kanjanahattakij, Napatt
Feyssa, Eyob
Source
Case Reports in Transplantation
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-22
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
In general population, gallstone pancreatitis is the most common cause of pancreatitis.
However, there are very few literatures that address this topic in post-liver-transplant patients.
Clinical Case.
A 69-year-old female who had a liver transplant in 2015 due to hepatocellular carcinoma and nonalcoholic steatohepatitis (NASH) cirrhosis.
She had a recent episode of acute cellular rejection that was treated with high dose methylprednisolone 1 week prior to admission.
She presented with severe epigastric abdominal pain associated with nausea and vomiting.
Her laboratory studies showed significantly elevated serum lipase, AST, and ALT from her baseline.
She underwent urgent Endoscopic Ultrasound (EUS) with Endoscopic Retrograde Cholangiopancreatography (ERCP) that showed common bile duct stone that was extracted.
Discussion.
Biliary sludge and stones accounted for 22% of late onset acute pancreatitis after liver transplant.
Corticosteroids have been identified as one of the potential causes of drug-induced pancreatitis.
However, she is more likely to have gall stone pancreatitis since she also had dilated common bile duct and intrahepatic duct.
In addition, there was CBD stone noted on ERCP.
Conclusion.
Acute gallstone associated pancreatitis after liver transplant is not uncommon.
Patients generally have good outcomes.
Further prospective studies are warranted.
American Psychological Association (APA)
Kanjanahattakij, Napatt& Lapumnuaypol, Kamolyut& Fatima, Sanna& Feyssa, Eyob. 2017. Gallstone Pancreatitis: A Common but Often Overlooked Cause of Abdominal Pain in Post-Liver-Transplant Patients. Case Reports in Transplantation،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1150443
Modern Language Association (MLA)
Kanjanahattakij, Napatt…[et al.]. Gallstone Pancreatitis: A Common but Often Overlooked Cause of Abdominal Pain in Post-Liver-Transplant Patients. Case Reports in Transplantation No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1150443
American Medical Association (AMA)
Kanjanahattakij, Napatt& Lapumnuaypol, Kamolyut& Fatima, Sanna& Feyssa, Eyob. Gallstone Pancreatitis: A Common but Often Overlooked Cause of Abdominal Pain in Post-Liver-Transplant Patients. Case Reports in Transplantation. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1150443
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150443