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Pregled bibliografske jedinice broj: 409952

Zbornik radova

Autori: Krznarić-Zrnić, Irena; Poropat, Goran; Milić, Sandra; Host, Ivan; Štimac, Davor
Naslov: Blue fingertips - rijetka komplikacija akutnog nekrotizirajućeg pankreatitisa
Izvornik: 5. Kongres Hrvatskog gastroenterološkog društva s međunarodnim sudjelovanjem - knjiga sažetaka
Skup: 5. Kongres Hrvatskog gastroenterološkog društva s međunarodnim sudjelovanjem
Mjesto i datum: Duborvnik, Hrvatska, 03-05.04.2009.
Ključne riječi: Blue fingertips; akutni pankreatitis; komplikacija
Sažetak:
Background: Acute pancreatitis is sometimes life threatening illness with eventful complications. Extra pancreatic organ failure and development of local complications determine the course. Apart from well known local and systemic complications, vascular occlusion with cholesterol embolism has been established in various studies. Among different vascular complications, blue toe syndrome was described. Case report: A 81-year old man was admitted because of sudden onset of abdominal pain after a fatty meal. According to the laboratory and imaging findings the diagnosis of acute necrotic pancreatitis (Balthazar score D, CTSI 5) was established. Because of respiratory insufficiency and pleural effusions patient was transferred to the ICU and ventilated mechanically. His clinical condition improved. In clinical status we noticed development of painful blue discoloration in distal phalanges 2nd to 5th finger of his right hand. Color Doppler of the right forearm was done and showed no flow in distal parts of the mentioned fingers. In spite of the improvement of general clinical condition, patient unexpectidly died two days later. Autopsy revealed pulmonary embolism as cause of death. Conclusion: Although blue toe (tip) syndrome can occur as a complication in many diseases, we have to consider it as a very rare, but possible complication of acute pancreatitis too.
Vrsta sudjelovanja: Poster
Vrsta prezentacije u zborniku: Sažetak
Vrsta recenzije: Domaća recenzija
Projekt / tema: 062-0000000-0211
Izvorni jezik: ENG
Kategorija: Stručni
Znanstvena područja:
Kliničke medicinske znanosti
Upisao u CROSBI: vlicul@medri.hr (vlicul@medri.hr), 9. Lip. 2009. u 13:05 sati



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