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REUNIÃO DE CASOS

FELLOW MARIA FERNANDA

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13/05/2020

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RH HSP: 10495838

CJFB, 57 anos, sem antecedentes clínico-cirúrgicos.

Dor abdominal há 03 dias com náuseas e distensão abdominal.

Lab: Amilase: 1424 Lipase: 2631 BT: 6,83 BD: 4,68 BI: 2,15

Hb: 15,4 Leuco: 22820 Plaquetas: 21300

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15 dias após início dos sintomas: febre e dor abdominal

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Esteatonecrose

  • Saponificação da gordura
  • Hipocalcemia
  • Pancreatite aguda grave e necrosante
  • Diagnóstico diferencial com carcinomatose peritoneal

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60 dias após início dos sintomas: exame de controle

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80 dias após início dos sintomas: exame de controle

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Referências bibliográficas

  • Balthazar EJ. Acute pancreatitis: assessment of severity with clinical and CT evaluation. Radiology 2002;223(3):603-613.
  • Balthazar EJ. Complications of acute pancreatitis: clinical and CT evaluation. Radiol Clin North Am 2002;40(6):1211-1227.
  • Smith JP, Arnoletti JP, Varadarajulu S, Morgan DE. Post-pancreatitis Fat Necrosis Mimicking Carcinomatosis. Radiol Case Rep. 2015;3(2):192. Published 2015 Dec 7.
  • Kamaya A, Federle MP, Desser TS. Imaging manifestations of abdominal fat necrosis and its mimics. Radiographics : a Review Publication of the Radiological Society of North America, Inc. 2011 Nov-Dec;31(7):2021-2034.
  • Xiao B, Xu HB, Jiang ZQ, Zhang J, Zhang XM. Current concepts for the diagnosis of acute pancreatitis by multiparametric magnetic resonance imaging. Quant Imaging Med Surg. 2019;9(12):1973‐1985.

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