Ureteric obstruction as an unrecognised cause of acute pancreatitis in the emergency setting
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Keywords

emergency department
pancreatitis
pyelonephritis
ureteric calculus
management

How to Cite

1.
Raj M, Murray S. Ureteric obstruction as an unrecognised cause of acute pancreatitis in the emergency setting. Australasian Journal of Paramedicine [Internet]. 2009Feb.5 [cited 2022Aug.19];7(1). Available from: https://ajp.paramedics.org/index.php/ajp/article/view/149

Abstract

Introduction

Acute severe pancreatitis has a high mortality rate (10 to 30 %) and the aetiology of the pancreatitis itself influences the severity assessment and ultimately the treatment.1 Up to 20% of cases of acute pancreatitis are said to be due to unusual causes such as viral infection, trauma and drugs. However to date, there have been no reports in the literature of ureteric obstruction and infection causing acute pancreatitis.

Methods

We report on a case of a 77-year-old male who presented to the Emergency Department with acute pancreatitis occurring in the setting of an obstructed and infected right urinary system.

Results

We outline the pathway to diagnosis and management in this patient and highlight the difficulties associated with reaching an accurate diagnosis in the acute setting.

Conclusion

We report on this unusual case of acute pancreatitis in the emergency setting. By illustrating this case we aim to promote awareness of and encourage clinicians to consider ureteric obstruction as a possible cause of acute pancreatitis, in their workup of patients in the emergency department.

https://doi.org/10.33151/ajp.7.1.149
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