An Unusual Presentation of Acute Pancreatitis: Case Report Study

Aza Ziyada, Reem Hassan, Mansour Elmahdi
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Abstract

Acute pancreatitis (AP) is an inflammation of the pancreas and is one of the most common gastrointestinal causes of hospital admission in Qatar. Patients with AP usually experience severe epigastric pain, accompanied by nausea or vomiting. Acute pancreatitis is typically characterised by increased levels of pancreatic enzymes, but it is rarely accompanied by electrocardiogram (ECG) changes. In this study, we report a case of a patient with mild epigastric pain. According to his medical history, the patient is at high risk for cardiovascular diseases and was found to have ECG changes. As a result, the patient was sent to the emergency department to rule out acute coronary syndrome. Later, the patient was found to have AP with biliary colic and was admitted to the hospital for treatment and discharged for elective cholecystectomy. We present this case to highlight alternative diagnoses that should be considered in such clinical scenarios. Key words: acute pancreatitis, case report
急性胰腺炎的不寻常表现:病例报告研究
急性胰腺炎(AP)是胰腺的一种炎症,是卡塔尔住院最常见的胃肠道原因之一。AP患者通常经历严重的胃脘痛,并伴有恶心或呕吐。急性胰腺炎的典型特征是胰酶水平升高,但很少伴有心电图(ECG)变化。在这项研究中,我们报告一个病例的病人轻度胃脘痛。根据病史,患者为心血管疾病高危人群,并发现心电图改变。结果,病人被送到急诊科以排除急性冠状动脉综合征。后发现AP合并胆绞痛,入院治疗,出院行择期胆囊切除术。我们提出这个病例是为了强调在这种临床情况下应该考虑的替代诊断。关键词:急性胰腺炎;病例报告
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