Severe Acute Pancreatitis Caused by Gallstones in a Young Adult

Ummi Maimunah,Inne Tria Ramafita

doi:10.24871/221202184-91

Abstract

Acute pancreatitis is a pancreatic exocrine disorder consisting of various degrees of inflammation and is correlated with the parenchymal gland's damage due to auto-digestion of pancreatic enzymes. One of the causes of acute pancreatitis is gallstones. Acute pancreatitis has a typical clinical picture of abdominal pain with sedentary and blunt characteristics located in the epigastrium or periumbilical and often radiates to the back or chest, waist, and lower abdomen. Here presented a case of a 20-year-old male diagnosed with severe acute pancreatitis caused by gallstones who experienced various complications including acute necrotizing pancreatitis, colon perforation that caused generalized peritonitis and fistulation, as well as sepsis. The patient felt the main complaints, including intermittent abdominal pain, decreased appetite, nausea, and weakness. The treatment given is adequate conservative therapy and surgery for fluid and abscesses drainage, correction of fistulations, and perforation of hollow organs.

Highlights

Acute pancreatitis is a pancreatic exocrine disorder consisting of various degrees of inflammation and is correlated with the parenchymal gland's damage due to auto-digestion of pancreatic enzymes.[1]
The results showed that colon flexural lienalis perforations associated with peripancreatic fluid collection (PFC) bags fistulated with the cavum peritoneum
The complications that can be caused are divided based on the time of occurrence.[17]. The patient, in this case, was included as necrotizing pancreatitis type indicated by MRI and CT-scan results, which interpreted multiple cystic lesions containing fluid and peripancreatic fluid collection (PFC)

Summary

Introduction

Acute pancreatitis is a pancreatic exocrine disorder consisting of various degrees of inflammation and is correlated with the parenchymal gland's damage due to auto-digestion of pancreatic enzymes.[1]. Based on guidance from the American College of Gastroenterology (ACG) in 2013, the diagnosis of acute pancreatitis is carried out if there are two of the following criteria: the presence of consistent abdominal pain, an increase of amylase serum and lipase more than three times higher than normal, and the presence of imaging examination results (ultrasound/CT-Scan/ MRI) that showed acute pancreatitis (10–12).

Results

Conclusion