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Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach

Until 2018, 236 cases of acute pancreatitis have been reported in patients who underwent peritoneal dialysis. Here, we presented a patient with double renal transplantation with chronic renal failure, under renal replacement therapy by peritoneal dialysis, who developed acute pancreatitis with abdom...

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Autores principales: Aliotta, Roberta, Zanoli, Luca, Lauretta, Itria, Giunta, Rosa, Ferrario, Silvia, Rastelli, Stefania, Rapisarda, Sebastiano, Rahbari, Elnaz, Rapisarda, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888805/
https://www.ncbi.nlm.nih.gov/pubmed/29636637
http://dx.doi.org/10.1177/1179547618765761
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author Aliotta, Roberta
Zanoli, Luca
Lauretta, Itria
Giunta, Rosa
Ferrario, Silvia
Rastelli, Stefania
Rapisarda, Sebastiano
Rahbari, Elnaz
Rapisarda, Francesco
author_facet Aliotta, Roberta
Zanoli, Luca
Lauretta, Itria
Giunta, Rosa
Ferrario, Silvia
Rastelli, Stefania
Rapisarda, Sebastiano
Rahbari, Elnaz
Rapisarda, Francesco
author_sort Aliotta, Roberta
collection PubMed
description Until 2018, 236 cases of acute pancreatitis have been reported in patients who underwent peritoneal dialysis. Here, we presented a patient with double renal transplantation with chronic renal failure, under renal replacement therapy by peritoneal dialysis, who developed acute pancreatitis with abdominal pain, nausea, vomiting, leukocytosis with neutrophil left shift which is complicated by pancreatic pseudocyst, candida peritonitis, fungal sepsis, overlapping of Acinetobacter baumannii sepsis, and pneumonitis. After the percutaneous cystogastrostomy drainage of pancreatic pseudocyst, changes from peritoneal dialysis to hemodialysis, various thoracentesis, and polyantibiotics therapy, the resolution of the sepsis state was seen. The particular aspect of our case is the various comorbidity risks, severe pancreatitis associated with candida and A baumannii sepsis, and treatment strategy that lead to heal this kind of the high mortality rate condition.
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spelling pubmed-58888052018-04-10 Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach Aliotta, Roberta Zanoli, Luca Lauretta, Itria Giunta, Rosa Ferrario, Silvia Rastelli, Stefania Rapisarda, Sebastiano Rahbari, Elnaz Rapisarda, Francesco Clin Med Insights Case Rep Case Report Until 2018, 236 cases of acute pancreatitis have been reported in patients who underwent peritoneal dialysis. Here, we presented a patient with double renal transplantation with chronic renal failure, under renal replacement therapy by peritoneal dialysis, who developed acute pancreatitis with abdominal pain, nausea, vomiting, leukocytosis with neutrophil left shift which is complicated by pancreatic pseudocyst, candida peritonitis, fungal sepsis, overlapping of Acinetobacter baumannii sepsis, and pneumonitis. After the percutaneous cystogastrostomy drainage of pancreatic pseudocyst, changes from peritoneal dialysis to hemodialysis, various thoracentesis, and polyantibiotics therapy, the resolution of the sepsis state was seen. The particular aspect of our case is the various comorbidity risks, severe pancreatitis associated with candida and A baumannii sepsis, and treatment strategy that lead to heal this kind of the high mortality rate condition. SAGE Publications 2018-03-26 /pmc/articles/PMC5888805/ /pubmed/29636637 http://dx.doi.org/10.1177/1179547618765761 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Aliotta, Roberta
Zanoli, Luca
Lauretta, Itria
Giunta, Rosa
Ferrario, Silvia
Rastelli, Stefania
Rapisarda, Sebastiano
Rahbari, Elnaz
Rapisarda, Francesco
Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach
title Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach
title_full Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach
title_fullStr Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach
title_full_unstemmed Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach
title_short Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach
title_sort pancreatitis is a silent killer in peritoneal dialysis with difficult diagnostic approach
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888805/
https://www.ncbi.nlm.nih.gov/pubmed/29636637
http://dx.doi.org/10.1177/1179547618765761
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