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Fatal acute necrohaemorrhagic pancreatitis with massive intraperitoneal and retroperitoneal bleeding: a rare cause of exsanguination

dc.contributor.authorQuerido, Sara
dc.contributor.authorCarvalho, Inês
dc.contributor.authorMoleiro, Filipa
dc.contributor.authorPóvoa, Pedro
dc.date.accessioned2017-08-07T10:43:40Z
dc.date.available2017-08-07T10:43:40Z
dc.date.issued2016-01
dc.description.abstract"An otherwise healthy 37-year-old man was admitted to hospital with uncontrollable vomiting and abdominal pain. Lithiasic acute pancreatitis was diagnosed on the basis of clinical symptoms along with raised serum amylase levels and compatible findings in ultrasonography and CT scan. Two Ranson criteria (lactate dehydrogenase over 350 U/L and aspartate aminotransferase over 250 U/L) were present at admission. The patient was transferred to an intensive care unit (ICU); intravenous crystalloids were prescribed and analgaesics were administered for pain relief. Unexpectedly, 10 h after ICU admission, he presented a cardiac arrest with a non-defibrillate rhythm and died after 40 min of advanced life support. An autopsy was performed and revealed acute necrohaemorrhagic pancreatitis with massive intraperitoneal and retroperitoneal haemorrhage. This case report summarises the epidemiology, pathophysiology and risk factors for fatal bleeding acute pancreatitis."pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationQuerido S, Carvalho I, Moleiro F, et al. BMJ Case Rep Published online: 20 January 2016. doi:10.1136/ bcr-2015-213732pt_PT
dc.identifier.doi10.1136/bcr-2015-213732pt_PT
dc.identifier.issn1757-790X
dc.identifier.urihttp://hdl.handle.net/10400.26/18765
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJ Publishing Grouppt_PT
dc.relation.publisherversionhttp://casereports.bmj.com/content/2016/bcr-2015-213732.abstractpt_PT
dc.subjectAcute necrohaemorrhagic pancreatitispt_PT
dc.subjectintraperitoneal haemorrhagept_PT
dc.subjectretroperitoneal haemorrhagept_PT
dc.titleFatal acute necrohaemorrhagic pancreatitis with massive intraperitoneal and retroperitoneal bleeding: a rare cause of exsanguinationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleBMJ Case Reportspt_PT
rcaap.embargofctPolítica de copyright do editorpt_PT
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT

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