Greer Jordan W, Beck William C, Bhavaraju Avi, Davis Ben, Kimbrough Mary K, Jensen Joseph, Privratsky Anna, Robertson Ronald, Taylor John R, Sexton Kevin W
Department of Surgery, Division of Acute Care Surgery, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
J Surg Case Rep. 2018 May 18;2018(5):rjy104. doi: 10.1093/jscr/rjy104. eCollection 2018 May.
A 30-year-old male presented to an outside facility with acute pancreatitis and triglycerides of 1594. He was transferred to our facility after becoming febrile, hypoxic and in acute renal failure with triglycerides of 4243. CT scan performed showed wall-off pancreatic necrosis. He underwent continuous renal replacement therapy and his acute renal failure resolved. He was treated with broad spectrum antibiotics and discharged. He developed a fever to 101 a week later and was found to have a large infected pancreatic pseudocyst. This was managed with an IR placed drain. This was continued for 6 weeks. He came to the emergency department several weeks later with shortness of breath and 3+ edema to bilateral lower extremities and lower abdomen. TTE performed showed an EF of 15%. He was diuresed 25 L during that stay. His heart failure was medically managed. We present this case of dilated cardiomyopathy secondary to acute pancreatitis.
一名30岁男性因急性胰腺炎和甘油三酯水平达1594被送往外部医疗机构。在出现发热、低氧血症并伴有急性肾衰竭且甘油三酯水平达4243后，他被转至我院。CT扫描显示胰腺有包裹性坏死。他接受了持续肾脏替代治疗，急性肾衰竭得以缓解。他接受了广谱抗生素治疗并出院。一周后他体温升至101华氏度（约38.3摄氏度），发现有一个巨大的感染性胰腺假性囊肿。通过介入放射学放置引流管进行处理。这种处理持续了6周。几周后他因呼吸急促以及双侧下肢和下腹部出现3+水肿来到急诊科。经胸超声心动图检查显示射血分数为15%。在那次住院期间他排出了25升尿液。他的心力衰竭通过药物治疗。我们呈现这例继发于急性胰腺炎的扩张型心肌病病例。
