Pizza, beer, amylase, lipase and the acute abdomen

1 Guidelines suggest that CT scanning should be delayed until the second week of disease in patients with severe acute pancreatitis in order to assess the extent of pancreatic necrosis better. 2 This case illustrates the importance of early scanning in patients with atypical presentations and when t...

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Veröffentlicht in:	Gut 2010-11, Vol.59 (11), p.1464-1464
Hauptverfasser:	Catton, James A, Lobo, Dileep N
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Abdomen, Acute - etiology abdominal pain Acute gastric dilatation acute pancreatitis Adolescent alcohol Alcoholic Beverages - adverse effects amylase Amylases - blood Biological and medical sciences Biomarkers - blood Bulimia - complications Clinical Enzyme Tests Diagnosis, Differential Gangrene gastric surgery Gastroenterology. Liver. Pancreas. Abdomen Humans Infarction - diagnosis Infarction - etiology ischaemia lipase Lipase - blood Male Medical sciences Necrosis Other diseases. Semiology pancreatic enzymes Pancreatitis - diagnosis perforation Stomach - blood supply Stomach - pathology Tomography, X-Ray Computed
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Zusammenfassung:	1 Guidelines suggest that CT scanning should be delayed until the second week of disease in patients with severe acute pancreatitis in order to assess the extent of pancreatic necrosis better. 2 This case illustrates the importance of early scanning in patients with atypical presentations and when there is diagnostic uncertainty 2 and clinicians should have a low threshold for requesting cross-sectional imaging in similar situations.
ISSN:	0017-5749 1468-3288
DOI:	10.1136/gut.2009.184010