Naslov
Blue fingertips - rijetka komplikacija akutnog nekrotizirajućeg pankreatitisa
(Blue fingertips - a rare complication of acute necrotising pancreatitis)

Autori
Krznarić-Zrnić, Irena ; Poropat, Goran ; Milić, Sandra ; Host, Ivan ; Štimac, Davor

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
5. Kongres Hrvatskog gastroenterološkog društva s međunarodnim sudjelovanjem - knjiga sažetaka / - , 2009

Skup
5. Kongres Hrvatskog gastroenterološkog društva s međunarodnim sudjelovanjem

Mjesto i datum
Dubrovnik, Hrvatska, 03.04.2009. - 05.04.2009

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
Blue fingertips; akutni pankreatitis; komplikacija
(Blue fingertips; acute pancreatitis; complications)

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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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