Hasan Badar, Asif Talal, Braun Cody, Bahaj Waled, Dosokey Eslam, Pauly Rebecca R
Department of Internal Medicine, University of Missouri Kansas City (UMKC).
Cureus. 2017 Apr 25;9(4):e1193. doi: 10.7759/cureus.1193.
Acute pancreatitis is a common cause of acute abdominal pain. Gallstones and alcohol abuse account for the majority of the cases. Pancreatic ischemia is an uncommon but established cause of pancreatitis associated with connective tissue diseases, vasculitis, and shock. Our case highlights a rare case of vaso-occlusive crisis (VOC) in a patient with sickle cell (SC) disease leading to pancreatitis. Treatment remains largely conservative but exchange transfusion may be the therapy of choice in severely hypoxic patients or in patients with high pre-treatment hemoglobin S levels.
急性胰腺炎是急性腹痛的常见病因。胆结石和酗酒是大多数病例的病因。胰腺缺血是与结缔组织病、血管炎和休克相关的胰腺炎的一种罕见但已明确的病因。我们的病例突出了1例镰状细胞（SC）病患者发生血管闭塞性危象（VOC）导致胰腺炎的罕见病例。治疗主要仍为保守治疗，但对于严重缺氧患者或治疗前血红蛋白S水平高的患者，换血疗法可能是首选治疗方法。
