Monib Sherif M, El-Barbary Hany M
Department of Surgery, Mouwasat Hospital, Dammam, Eastern province Saudi Arabia ; Department of Surgery, Watford General Hospital, WD18 0HB Watford, Herts UK.
Department of Surgery, Mouwasat Hospital, Dammam, Eastern province Saudi Arabia.
Indian J Surg. 2013 Jun;75(Suppl 1):340-4. doi: 10.1007/s12262-012-0701-7. Epub 2012 Jul 18.
Acute pancreatitis is one of the common causes of the acute abdomen that should be included in any differential diagnosis for acute abdominal pain; it is also well known with its variant causes, of which most common is biliary tree stones, alcoholic pancreatitis, followed by a long list of other less common causes. We have reported a rare case of relapsing acute pancreatitis due to atypical sporadic hypertriglyceridemia (Frederickson's type IV) in a young male patient who was seen in the accident and emergency department presenting with severe agonizing abdominal pain, with history of recurrent similar attacks, which were unfortunately misdiagnosed elsewhere.
急性胰腺炎是急腹症的常见病因之一,在任何急性腹痛的鉴别诊断中都应予以考虑;其病因多样,最为常见的是胆系结石、酒精性胰腺炎,其次还有一长串其他不太常见的病因。我们报告了一例罕见的复发性急性胰腺炎病例,病因是非典型散发性高甘油三酯血症(弗雷德里克森IV型),患者为青年男性,在急诊科就诊时表现为严重的剧烈腹痛,有反复类似发作史,不幸的是在其他地方曾被误诊。