Isaacs P, Saunders A J, Rosen B K, Sladen G E
Gastroenterology Unit, Guy's Hospital, London, UK.
Postgrad Med J. 1986 Dec;62(734):1151-2. doi: 10.1136/pgmj.62.734.1151.
Acute alcoholic pancreatitis was undiagnosed in a patient with anorexia nervosa who subsequently developed pancreatic ascites and oedema, wrongly attributed to protein malnutrition alone. She became hyperphagic in an attempt to reverse the malnutrition and hence the abdominal swelling, indicating that the goal of attaining a thin shape was the major determinant of the eating disorder in this patient. Measurement of ascitic fluid amylase concentration should be carried out in all patients with unexplained ascites.
一名神经性厌食症患者的急性酒精性胰腺炎未被诊断出来，该患者随后出现了胰源性腹水和水肿，错误地仅归因于蛋白质营养不良。她为了扭转营养不良从而减轻腹部肿胀而变得食欲亢进，这表明追求消瘦体型的目标是该患者饮食失调的主要决定因素。对于所有不明原因腹水的患者，都应进行腹水淀粉酶浓度测定。
