Department of Digestive, Diseases and Internal Medicine, Sant’Orsola-Malpighi Hospital, Bologna, Italy.
Adv Med Sci. 2010;55(2):333-6. doi: 10.2478/v10039-010-0016-5.
Acute pancreatitis is a disease initially located into the pancreas that may become a systemic disease involving organs distant from the pancreas. All organs may be involved during an acute attack of pancreatitis: lungs, kidney, heart, liver, brain. The differential is sometime difficult because acute pancreatitis may sometimes mimic an acute coronary syndrome. We report a case of a 36-year-old man who was admitted to Emergency Room for persistent epigastric pain. Serial electrocardiograms (ECG) showed signs of acute myocardial infarction. However, a coronary angiogram demonstrated no coronary artery disease, and serum troponin was undetectable. Later, serum pancreatic enzyme levels were elevated and an ultrasonography scan of the abdomen was consistent with pancreatitis. Physicians should keep in mind the possibility of an attack of pancreatitis in a patient with abdominal pain and ECG modifications who is a heavy drinker.
急性胰腺炎是一种最初位于胰腺的疾病，可能发展为全身性疾病，累及远离胰腺的器官。在急性胰腺炎发作时，所有器官都可能受到累及：肺、肾、心、肝、脑。鉴别诊断有时较为困难，因为急性胰腺炎有时可能类似于急性冠状动脉综合征。我们报告了 1 例 36 岁男性患者，因持续性上腹痛而被收入急诊室。连续的心电图（ECG）显示出急性心肌梗死的迹象。然而，冠状动脉造影显示无冠状动脉疾病，血清肌钙蛋白无法检测到。后来，血清胰腺酶水平升高，腹部超声检查符合胰腺炎。医生应牢记，对于有腹痛和心电图改变且大量饮酒的患者，可能会发生胰腺炎发作。
