Details

Autor(en) / Beteiligte

• Albacete Ródenas, Paloma
• Ortiz Sánchez, María Luisa
• Gajownik, Urszula
• Alberca de Las Parras, Fernando
• Pons Miñano, José Antonio

Titel

Pancreatic encephalopathy, a little known complication of acute pancreatitis

Ist Teil von

• Revista española de enfermedades digestivas, 2022-02, Vol.114 (2), p.122-123

Ort / Verlag

Spain: Sociedad Espanola de Patologia Digestivas

Erscheinungsjahr

2022

Link zum Volltext

Quelle

Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals

Beschreibungen/Notizen

• A 62-year-old male presented with severe post-endoscopic retrograde cholangiopancreatography (post-ERCP) acute pancreatitis. He required admission to the Intensive Care Unit (ICU) twice due to respiratory and renal failure and neurological deterioration. On the hospitalization ward, he presented a fluctuating alteration of the level of consciousness, with bradypsychia, disorientation and somnolence, which persisted after hemodynamic, metabolic and renal stabilization. A brain magnetic resonance imaging (MRI) was performed showing focal lesions due to small vessel disease, some with cavitations due to necrosis, and mild to moderate subcortical atrophy. A diagnosis of pancreatic encephalopathy was made given the clinical and radiological findings. The patient recovered full cognitive capacity after one week with adequate nutrition supported by protein supplementation.