病例报告:一例因HIV感染而接受治疗的急性胰腺炎患者的唯一症状为右侧疼痛

H. Sahni, K. Kirti, Rohan Palshetkar
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引用次数: 0

摘要

急性胰腺炎通常表现为严重的上腹部疼痛和背部疼痛。在实践中,胰腺炎的胃脘痛也可能偶尔伴有左侧腹痛。在这里,我们提出一个病例,38岁的男子抗逆转录病毒治疗艾滋病毒感染,谁来了严重的右侧腰痛急诊科。最初的腹部超声检查正常,病人被误诊为可能的肾相关性疼痛。第二天的ct扫描显示急性胰腺炎伴胰周脂肪搁浅,液体上升至右侧肾周间隙,肾旁筋膜增厚。尿检和肾功能检查均在正常范围内。在文献检索中,我们没有发现任何以右腰痛为唯一表现症状的急性胰腺炎病例报告。接受抗逆转录病毒治疗的患者发生胰腺炎最常见的原因是高甘油三酯血症。然而,该患者血脂正常。在排除其他原因后,我们得出结论,他的胰腺炎是由Azatanavir引起的,Azatanavir只有胰腺炎的上市后报告,我们没有找到将药物与疾病联系起来的具体研究。关键词:胰腺炎;艾滋病毒感染;艺术;Azatanavir
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case Report: Right flank pain as the only symptom for acute pancreatitis in a patient on treatment for HIV infection
Acute pancreatitis often presents with severe epigastric pain and referred pain to the back. In practice,  epigastric pain of pancreatitis may also occasionally present with associated left sided flank pain. Here, we present a case of a 38 year old man on antiretroviral therapy for HIV infection, who came with severe right  sided lumbar pain to the emergency department. The initial abdominal ultrasonogram was normal and the patient was misdiagnosed as possible renal associated pain. The CECT scan done the following day showed acute pancreatitis with peripancreatic fat stranding, fluid upto the right perinephric space and thickening of pararenal fascia. Urinalysis and renal function tests were within normal limits. On literature search, we could not find any reported cases of acute pancreatitis with right lumbar pain as the only presenting symptom.  Patients taking anti-retroviral therapy develop pancreatitis most commonly due to hypertriglyceridemia. However, this patient had a normal lipid profile. On ruling out other causes, we conclude that his pancreatitis was caused by Azatanavir, which has only post marketing reports of pancreatitis and we could find no specific study linking the drug to the disease. KEY WORDS : Pancreatitis; HIV infection; ART; Azatanavir
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