RARE LATE COMPLICATIONS OF ACUTE PANCREATITIS AMONG COLOURED POPULATION IN AFRICA (CLINICAL CASE DESCRIPTION)

Keywords: acute pancreatitis, festered post-necrotic pancreatic pseudocyst, African region

Abstract

Introduction. Acute pancreatitis is deemed the non-common diesease among the population of African countries – 1% of all general surgical conditions. Surgeons attribute these indicators to no or limited methods of laboratory and instrumental diagnostics and lack of respective professional diagnosticians Medium and severe acute pancreatitis is diagnosed by explorative laparotomy with a preliminary diagnosis of the “burst abdomen”. These reasons lead to limited literature data in African countries.
Aim. To describe and study peculiarities of the clinical course, diagnosis, and treatment of acute pancreatitis complication, which is rare in the African region – festered post-necrotic pancreatic pseudocyst.
Materials and methods. A clinical case of a late complication of acute pancreatitis – festered post-necrotic pancreatic pseudocyst in a patient treated at the Baptist Medical Centre, Nalerigu, North-Eastern Ghana.
Results. The diagnosis was made based on clinical symptoms, computer diagnostics, and consultative telemedical healthcare at the general surgery clinic in Lviv where authors of this article used to work (A. Furtak), and are still working (D. Bidiuk). A programme for diagnostics and treatment of the described case is compared against the modern literature data.
Conclusions: The article highlights the peculiarities of diagnosing and treating the disease under specifi c conditions of the African region.

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References

Al-Haddad, M., Wallace, M.B., 2008. Diagnostic approach to patients with acute idiopathic pancreatitis, what should be done? World J Gastroenterol.14, 1007-10.

https://doi.org/10.3748/wjg.14.1007

Anderson F., Thomson S. R., Clarke D.R., Loots E. Acute Pancreatitis: Demographics, aetiological factors and outcomes in a reagional hospital in South Africa. SAJS, Vol. 46. 83-86, August 2008.

Andriushchenko D.V. Hostryi pankreatyt yak multydystsyplinarna problema nevidkladnoi abdominalnoi khirurhii. Naukovyi visnyk Uzhhorodskoho universytetu. Medytsyna. 2014, 2(50):26 - 30.

Arvanitakis, M., Delhaye, M., Maertelaere, V.D. et al., 2004. Computed tomography and MRI in the assessment of acute pancreatitis. Gastroenterology. 126, 715-23.

https://doi.org/10.1053/j.gastro.2003.12.006

Banks, P.A., Bollen, Th.L., Dervenis, Ch., Gooszen, H.G., Johnson, C.D., Sarr, M.G., Tsiotos, G.G., Vege, S.Sw., Acute Pancreatitis Classification Working Group, 2013. Classification of acute pancreatitis-2012: revision of the Atlanta classification and definitions by international consensus. Gut.62, 102-111.

https://doi.org/10.1136/gutjnl-2012-302779

Beger H.G. Matsuno S., Cameron J.L. 2008. Disease of the Pancreas. Berlin: Springer-Verlag. Р. 905.

https://doi.org/10.1007/978-3-540-28656-1

Bidiuk D.M., Furtak A.I. Kliniko-epidemiolohichni kharakterystyky piznikh uskladnen hostroho pankreatytu. Pratsi NTSh. Med. Nauky. 2015, 43(27):94-100.

Bidiuk, D.M., Furtak, A.I., Mykush, A.M., 2016. Rare combinations of late complications of acute pancreatitis with other diseases. GalicianMedJ.23(3) [електроннийресурс http://ojs.ifnmu.edu.ua/index.php/gmj/article/view/564/538]

https://doi.org/10.21802/gmj.2016.3.2

Bradley, E.L.III, 2014. The Natural and Unnatural History of Pancreatic Fluid Collections Associated with Acute Pancreatitis. Dig Dis Sci J. 59(5), 908-910.

https://doi.org/10.1007/s10620-013-3012-3

Bollen, T.L., Singh, V.K., Maurer, R. et al., 2011. Comparative evaluation of the modified CT severity index and CT severity index in assessing severity of acute pancreatitis. AJR Am J Roentgenol.197, 386-92.

https://doi.org/10.2214/AJR.09.4025

Götzinger, P., 2010. Management der akuten Pankreatitis. J Gastroenterol Hepatol Erkr. 8(1), 14-18.

John K.D, Segan I., Hassan H., Levy R.D., Amin M. Acute Pancreatitis in Sowetan Africans. A disease with high mortality and morbidity. Int J Pancreatol. 1997 Apr; 20(2): 149-55.

Kleespies, A., Thasler, W.E., Schäfer, C., Meimarakis, G., Eichhorn, M.E., Bruns, C.J., Jauch, K.-W., Zügel, N., 2008. Akute Pankreatitis: Wann ist der Chirurg gefragt?.Z Gastroenterol.46, 790-798

https://doi.org/10.1055/s-2008-1027467

Kopchak V.M., Khomiak I.V., Shevchenko V.M., ta in. Alhorytm khirurhichnoho likuvannia hostroho pankreatytu. Klinichna khirurhiia. 2014, 9(2):21-24.

Kryvoruchko I.A., Kopchak V.M., Usenko O.Yu. Klasyfikatsiia hostroho pankreatytu: perehliad internatsionalnym konsensusom u 2012 r., klasyfikatsii, pryiniatoi v Atlanti. Klinichna khirurhiia. 2014, 9:19-24.

Mei Lan Cui, Kook Hyun Kim, Ho Gak Kim, Jimin Han, Hyunsoo Kim, Kwang Bum Cho, Min Kyu Jung, Chang Min Cho, Tae Nyeun Kim Incidence, 2013. Risk Factors and Clinical Course of Pancreatic Fluid Collections in Acute Pancreatitis.Dig Dis Sci J. 59(5), 1055-1062.

https://doi.org/10.1007/s10620-013-2967-4

Pappas, T., 2005. Is CT guided fine needle aspiration helpful in patients with infected necrosis. Am J Gastroenterol.100, 2371-4.

https://doi.org/10.1111/j.1572-0241.2005.t01-1-00328.x

Patil, P. V., Khalil, A., Thaha, M. A. 2011. Splenic Parenchymal Complications in Pancreatitis. J Pancr. 12(3), 287-291.

Stimac, D., Miletic, D., Radic, M. et al., 2007. The role of non enhanced mangetic resonance imaging in the early assessment of acute pancreatitis. Am J Gastroenterol. 102, 997-1004

https://doi.org/10.1111/j.1572-0241.2007.01164.x

Tandon, M., Topazian, M., 2001. Endoscopic ultrasound in idiopathic acute pancreatitis. Am J Gastroenterol.96, 705-9.

https://doi.org/10.1111/j.1572-0241.2001.03609.x

Tenner, S., Baillie, J., DeWitt, J., Swaroop Vege, S.2013. Management of Acute Pancreatitis. Am J Gastroenterol.108(9), 1400-1415.

https://doi.org/10.1038/ajg.2013.218

Tsai, Sh., Yabar, C., Chan, Je., Ortiz, Jo., Joshi, A.R.T., 2014. Superior mesenteric vein aneurysm associated with necrotizing pancreatitis. Am Surg J.80(12), 348-349.

Trivedi, H., Shuja, A., Shah, B. B., 2015. Intrasplenic Pancreatic Pseudocyst: A Rare Complication of Acute Pancreatitis. ACG Case Rep J. 2(4), 202-203

https://doi.org/10.14309/crj.2015.57

Ugwu B. T., Obekpa P. O., Kidmas A. T. Acute Pancreatitis at Jos University Teaching Hospital. Nig. J. Surg., Vol. 4, No. 2, 58-62, December 1997.

Zimpfer, M., Beger, H.G., Rau, B., Bradley, E.L. und and., 1999. Interdisziplinäres Gespräch. Akute Pankreatitis. Chir Gastroenterol. 15, 369-382.

https://doi.org/10.1159/000012598


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Published
2020-02-24
How to Cite
1.
Furtak A, Haun H, Bidiuk D. RARE LATE COMPLICATIONS OF ACUTE PANCREATITIS AMONG COLOURED POPULATION IN AFRICA (CLINICAL CASE DESCRIPTION). Proc Shevchenko Sci Soc Med Sci [Internet]. 2020Feb.24 [cited 2021Sep.18];57(2). Available from: https://mspsss.org.ua/index.php/journal/article/view/230