Organofosfat zehirlenmesine bağlı pankreatik psödokist gelişimi

Key Findings & Data:Methods: A 17-year-old female patient with a history of ingestion of complication of organophosphate insecticide (DDVP EC 550, dichlorvos) was admitted with cholinergic symptoms.

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Conclusion & Impact:Early diagnosis and appropriate treatment may reduce morbidity and mortality.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Ergen · Kadın · Fosforik asit esterleri

Abstract

Background/aims: Acute pancreatitis is a serious complication of organophosphate poisoning. There is no report in the literature dealing with the development of a pancreatic pseudocyst after complication of organophosphate-induced acute pancreatitis. Therefore, we present a case who developed pancreatic pseudocyst after complication of organophosphate-induced acute pancreatitis. Methods: A 17-year-old female patient with a history of ingestion of complication of organophosphate insecticide (DDVP EC 550, dichlorvos) was admitted with cholinergic symptoms. On admission, serum amylase and lipase levels were high and abdominal ultrasonography showed an edematous pancreas. No etiological factor for acute pancreatitis was evident. Results: We diagnosed complication of organophosphateinduced acute pancreatitis. After four weeks, abdominal abdominal ultrasonography and computerized tomography revealed a pancreatic pseudocyst of 6 cm diameter. During follow-up, the pancreatic pseudocyst size regressed to 4 cm. Conclusion: Complication of organophosphate poisoning can cause acute pancreatitis and its complications. Early diagnosis and appropriate treatment may reduce morbidity and mortality.

Özet

AAmaç: Akut pankreatit, organofosfat zehirlenmesinin ciddi bir komplikasyonudur. Literaturde organofosfat ile oluşan akut pankreatit sonrası pankreatik psodokist gelişimiyle ilgili yayın bulunmamaktadır. Bu nedenle, organofosfat ile oluşan akut pankreatit sonrası pankreatik psodokist gelişen bir vakayı sunuyoruz. Yöntem: Organofosfat insektisit (DDVP EC 550, diklorvos) alım oykusu olan 17 yaşında bir kadın hasta kolinerjik semptomlarla başvurdu. Başvuruda, serum amilaz ve lipaz duzeyleri yuksekti ve abdominal ultrasonografi incelemesinde odematoz pankreas izlendi. Akut pankreatit icin herhangi bir etyolojik faktor yoktu. Bulgular: Organofosfat ile oluşan akut pankreatit teşhis ettik. Dort hafta sonra, abdominal ultrasonografi ve komputerize tomografide 6 cm capında pankreatik psodokist izlendi. Takip sırasında pankreatik psodokist capı 4 cm’ye geriledi. Sonuç: Sonucta organofosfat zehirlenmesi, akut pankreatit ve komplikasyonlarına yol acabilir. Erken teşhis ve uygun tedavi morbidite ve mortaliteyi azaltabilir.

Keywords

Ergen Kadın Fosforik asit esterleri İntihar girişim Akut hastalık Pankreatik psödokist Adolescent Female Phosphoric Acid Esters Suicide Attempted Acute Disease Pancreatic Pseudocyst

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Cite This Article

HARPUTLUOĞLU, M. M. M., DEMİREL, U., ALAN, H., ATEŞ, F., ALADAĞ, M., KARINCAOĞLU, M., HİLMİOĞLU, F. (2007). Organofosfat zehirlenmesine bağlı pankreatik psödokist gelişimi. Turkish Journal of Gastroenterology, Cilt: 18 - Sayı: 2, 122–125. https://ajindex.com/articles/411162

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