A case of acute pancreatitis and acute renal failure due to aortic dissection
Mehmet Sariaydin1, Abdullah Algin2, Zulfukar Bilge3
1Adiyaman University, Faculty of Medicine, Department of Internal Medicine, Adiyaman, Turkey
2Adiyaman University, Faculty of Medicine, Department of Emergency Medicine, Adiyaman, Turkey
3Adiyaman University, Faculty of Medicine, Department of Gastroenterology, Adiyaman, Turkey
Acute pancreatitis (AP) is the inflammatory process of the pancreas with elevated pancreatic enzymes such as amylase, lipase and abdominal pain. The most common etiological factors are gallstones and alcohol. Among the rare causes of acute pancreatitis are vascular problems such as dissecting aortic aneurysms. A 57-year-old male patient was admitted to the emergency room with complaints of abdominal pain, nausea and vomiting. Laboratory is in review; Amylase: 1916 U/L, Lipase 773 U/L Urea: 187 mg /dL, WBC: 15.260 / mm3, Hemoglobin: 12.06 gr / dl, Creatinine: 3.0 mg/dl, AST: 18 IU/L, ALT: 21 IU/L, Total Billirubin: 0.58 mg/dL, LDH: 473 U/L. In patient with these findings it was thought to be acute pancreatitis. Abdominal CT revealed a dissecting aortic aneurysm, involving the celiac artery, super mesenteric artery and inferior mesenteric artery. Not every cause of pancreatitis is stone and alcohol. One of the rare causes is aortic dissection.