Tabakovic Mithat, Salkic Nermin N, Bosnjic Jasmina, Alibegovic Ervin
Department of Nephrology, Dyalisis and Transplantation, Internal Medicine Hospital, University Clinical Center Tuzla, Trnovac bb, 75000 Tuzla, Bosnia And Herzegovina.
Case Rep Transplant. 2012;2012:768193. doi: 10.1155/2012/768193. Epub 2012 May 7.
Acute pancreatitis is a rare but life-threatening complication in patients with transplanted kidney. The incidence of acute pancreatitis after kidney transplantation ranges from 2% to 7%, with mortality rate between 50 and 100%. We report a case of a female patient aged 46 years, developing an interstitial acute pancreatitis 8 years following a renal transplantation. The specific aethiological factor was not clearly established, although possibility of biliary pancreatitis with spontaneous stone elimination and/or medication-induced pancreatitis remains the strongest. Every patient after renal transplantation with an acute onset of abdominal pain should be promptly evaluated for presence of pancreatitis with a careful application of the most appropriate diagnostic procedure for each individual patient.
急性胰腺炎是肾移植患者中一种罕见但危及生命的并发症。肾移植后急性胰腺炎的发病率在2%至7%之间，死亡率在50%至100%之间。我们报告一例46岁女性患者，在肾移植8年后发生间质性急性胰腺炎。尽管胆源性胰腺炎伴自发结石排出和/或药物性胰腺炎的可能性最大，但具体病因尚未明确确定。每一位肾移植后急性腹痛发作的患者都应立即接受评估，通过谨慎应用最适合每位患者的诊断程序来确定是否存在胰腺炎。
