A case of acute pancreatitis and acute renal failure due to aortic dissection

Abstract

Acute pancreatitis (AP) The inflammatory process of the pancreas with elevated pancreatic enzymes such as amylase, lipase and abdominal pain. The most common etiologic factors are gallstones and alcohol. Among the rare causes of acute pancreatitis are vascular problems such as dissecting aortic aneurysms. A 57-year-old male patient was admitted to the emergency room with complaints of abdominal pain, nausea and vomiting. Laboratory is in review; Amylase: 1916 U/L, Lipase 773 U/L Urea: 187 mg /dL, WBC: 15.260 / mm3, Hemoglobin: 12.06 gr / dl, Creatinine: 3.0 mg/dl, AST: 18 IU/L, ALT: 21 IU/L, Total Billerubin: 0.58 mg/dL, LDH: 473 U/L. In patient with these findings it was thought to be acute pancreatitis. Abdominal CT revealed a dissecting aortic aneurysm, involving the celiac artery, super mesenteric artery and inferior mesenteric artery. Not every acute pancreatitis causes is stone and alcohol. One of the rare causes is aortic dissection.