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Unusual presentation of acute pancreatitis following high tibial osteotomy
We report a case of a 55-year-old man taxi driver admitted electively for high tibial osteotomy for relief of bilateral medial compartment osteoarthritis. He was obese and an ex-smoker but medical history was otherwise unremarkable. Day 1 postoperatively the patient started to suffer vomiting episod...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381942/ https://www.ncbi.nlm.nih.gov/pubmed/30765443 http://dx.doi.org/10.1136/bcr-2018-227438 |
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author | O’Connor, Adam Asaad, Peter |
author_facet | O’Connor, Adam Asaad, Peter |
author_sort | O’Connor, Adam |
collection | PubMed |
description | We report a case of a 55-year-old man taxi driver admitted electively for high tibial osteotomy for relief of bilateral medial compartment osteoarthritis. He was obese and an ex-smoker but medical history was otherwise unremarkable. Day 1 postoperatively the patient started to suffer vomiting episodes and the abdomen was distended. C Reactive protein and white cell count were both elevated but other bloods were normal. CT abdomen and pelvis was performed which showed acute interstitial pancreatitis. Glasgow score was calculated as 2. He was treated aggressively with analgesia, intravenous fluid and intravenous antibiotics. He has made a good recovery following these conservative measures. To our knowledge, this is the first case in the literature reporting pancreatitis as a complication of high tibial osteotomy. This case highlights the importance of close monitoring for abdominal complications even in the setting of elective orthopaedic surgery where it is a rare phenomenon. |
format | Online Article Text |
id | pubmed-6381942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-63819422019-03-10 Unusual presentation of acute pancreatitis following high tibial osteotomy O’Connor, Adam Asaad, Peter BMJ Case Rep Unusual Presentation of More Common Disease/Injury We report a case of a 55-year-old man taxi driver admitted electively for high tibial osteotomy for relief of bilateral medial compartment osteoarthritis. He was obese and an ex-smoker but medical history was otherwise unremarkable. Day 1 postoperatively the patient started to suffer vomiting episodes and the abdomen was distended. C Reactive protein and white cell count were both elevated but other bloods were normal. CT abdomen and pelvis was performed which showed acute interstitial pancreatitis. Glasgow score was calculated as 2. He was treated aggressively with analgesia, intravenous fluid and intravenous antibiotics. He has made a good recovery following these conservative measures. To our knowledge, this is the first case in the literature reporting pancreatitis as a complication of high tibial osteotomy. This case highlights the importance of close monitoring for abdominal complications even in the setting of elective orthopaedic surgery where it is a rare phenomenon. BMJ Publishing Group 2019-02-13 /pmc/articles/PMC6381942/ /pubmed/30765443 http://dx.doi.org/10.1136/bcr-2018-227438 Text en © BMJ Publishing Group Limited 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Unusual Presentation of More Common Disease/Injury O’Connor, Adam Asaad, Peter Unusual presentation of acute pancreatitis following high tibial osteotomy |
title | Unusual presentation of acute pancreatitis following high tibial osteotomy |
title_full | Unusual presentation of acute pancreatitis following high tibial osteotomy |
title_fullStr | Unusual presentation of acute pancreatitis following high tibial osteotomy |
title_full_unstemmed | Unusual presentation of acute pancreatitis following high tibial osteotomy |
title_short | Unusual presentation of acute pancreatitis following high tibial osteotomy |
title_sort | unusual presentation of acute pancreatitis following high tibial osteotomy |
topic | Unusual Presentation of More Common Disease/Injury |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381942/ https://www.ncbi.nlm.nih.gov/pubmed/30765443 http://dx.doi.org/10.1136/bcr-2018-227438 |
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