Acute pancreatitis after double cardiac valve replacement: a case report
Abstract Background Acute pancreatitis following cardiac surgery is a rare complication. Early recognition of risk factors and vigilance toward initial symptoms can prevent significant morbidity and mortality. Bowel ischemia and the release of inflammatory mediators during cardiopulmonary bypass pla...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-11-01
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| Series: | Bulletin of the National Research Centre |
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| Online Access: | https://doi.org/10.1186/s42269-024-01277-0 |
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| author | Wafae El Amraoui Ayoub Ettaje Oumaima Belcadi Salim Chajai Yassine Elmourabit Lalla Hasnaa Leghlimi Lahcen Marmad Mohamed Tribak Fadoua Lachhab Adil Bensouda Said Moughil |
| author_facet | Wafae El Amraoui Ayoub Ettaje Oumaima Belcadi Salim Chajai Yassine Elmourabit Lalla Hasnaa Leghlimi Lahcen Marmad Mohamed Tribak Fadoua Lachhab Adil Bensouda Said Moughil |
| author_sort | Wafae El Amraoui |
| collection | DOAJ |
| description | Abstract Background Acute pancreatitis following cardiac surgery is a rare complication. Early recognition of risk factors and vigilance toward initial symptoms can prevent significant morbidity and mortality. Bowel ischemia and the release of inflammatory mediators during cardiopulmonary bypass play key roles in the development of acute postoperative pancreatitis. Management is generally conservative, following the modified Atlanta 2012 criteria. This paper reviews the literature and emphasizes the importance of early investigation of abdominal pain after cardiac surgery. Case presentation We report a case of severe acute pancreatitis that developed after double valvular replacement, performed during a 3-h cardiopulmonary bypass in a patient who initially had endocarditis and underwent dialysis 3 times. Considering the risk factors, the patient was diagnosed early and managed conservatively, leading to a positive outcome. Conclusions Anesthesiologists must not disregard abdominal pain after cardiac surgery in the context of risk factors, as it may indicate gastrointestinal complications, including pancreatitis, which can be among the most dangerous complications if not treated promptly. |
| format | Article |
| id | doaj-art-f04d3f1c2f454db3bac8c7998e92e263 |
| institution | Kabale University |
| issn | 2522-8307 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Bulletin of the National Research Centre |
| spelling | doaj-art-f04d3f1c2f454db3bac8c7998e92e2632025-01-19T12:09:14ZengSpringerOpenBulletin of the National Research Centre2522-83072024-11-014811610.1186/s42269-024-01277-0Acute pancreatitis after double cardiac valve replacement: a case reportWafae El Amraoui0Ayoub Ettaje1Oumaima Belcadi2Salim Chajai3Yassine Elmourabit4Lalla Hasnaa Leghlimi5Lahcen Marmad6Mohamed Tribak7Fadoua Lachhab8Adil Bensouda9Said Moughil10Anesthesia Department and Resuscitation Unit Care of Cardiac Surgery, Ibn Sina HospitalAnesthesia Department and Resuscitation Unit Care of Cardiac Surgery, Ibn Sina HospitalCardiology A Department, Ibn Sina HospitalAnesthesia Department and Resuscitation Unit Care of Cardiac Surgery, Ibn Sina HospitalCardiac Surgery Department, Ibn Sina HospitalAnesthesia Department and Resuscitation Unit Care of Cardiac Surgery, Ibn Sina HospitalCardiac Surgery Department, Ibn Sina HospitalCardiac Surgery Department, Ibn Sina HospitalCardiac Surgery Department, Ibn Sina HospitalAnesthesia Department and Resuscitation Unit Care of Cardiac Surgery, Ibn Sina HospitalCardiac Surgery Department, Ibn Sina HospitalAbstract Background Acute pancreatitis following cardiac surgery is a rare complication. Early recognition of risk factors and vigilance toward initial symptoms can prevent significant morbidity and mortality. Bowel ischemia and the release of inflammatory mediators during cardiopulmonary bypass play key roles in the development of acute postoperative pancreatitis. Management is generally conservative, following the modified Atlanta 2012 criteria. This paper reviews the literature and emphasizes the importance of early investigation of abdominal pain after cardiac surgery. Case presentation We report a case of severe acute pancreatitis that developed after double valvular replacement, performed during a 3-h cardiopulmonary bypass in a patient who initially had endocarditis and underwent dialysis 3 times. Considering the risk factors, the patient was diagnosed early and managed conservatively, leading to a positive outcome. Conclusions Anesthesiologists must not disregard abdominal pain after cardiac surgery in the context of risk factors, as it may indicate gastrointestinal complications, including pancreatitis, which can be among the most dangerous complications if not treated promptly.https://doi.org/10.1186/s42269-024-01277-0Postoperative pancreatitisCardiac surgeryCardiopulmonary bypassHyperbilirubinemiaIntensive careCase report |
| spellingShingle | Wafae El Amraoui Ayoub Ettaje Oumaima Belcadi Salim Chajai Yassine Elmourabit Lalla Hasnaa Leghlimi Lahcen Marmad Mohamed Tribak Fadoua Lachhab Adil Bensouda Said Moughil Acute pancreatitis after double cardiac valve replacement: a case report Bulletin of the National Research Centre Postoperative pancreatitis Cardiac surgery Cardiopulmonary bypass Hyperbilirubinemia Intensive care Case report |
| title | Acute pancreatitis after double cardiac valve replacement: a case report |
| title_full | Acute pancreatitis after double cardiac valve replacement: a case report |
| title_fullStr | Acute pancreatitis after double cardiac valve replacement: a case report |
| title_full_unstemmed | Acute pancreatitis after double cardiac valve replacement: a case report |
| title_short | Acute pancreatitis after double cardiac valve replacement: a case report |
| title_sort | acute pancreatitis after double cardiac valve replacement a case report |
| topic | Postoperative pancreatitis Cardiac surgery Cardiopulmonary bypass Hyperbilirubinemia Intensive care Case report |
| url | https://doi.org/10.1186/s42269-024-01277-0 |
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