Abstract
Introduction: Pancreatitis, an inflammatory condition of the pancreas, is rarely recognized in the paediatric age group and frequently be ignored in the clinical setting. Pancreatitis in children can be subdivided into acute pancreatitis, acute recurrent pancreatitis and chronic pancreatitis1. It is uncommon in paediatric age group compared to adult. Although acute pancreatitis is a rare condition in children, it shouldn't be overlooked as one of the differential diagnosis for acute abdomen by the attending clinician Case report: We hereby report a case of acute pancreatitis in a 4-year-old boy who presented with abdominal discomfort and constipation to Emergency Department. Unfortunately, proper diagnosis was not done upon initial presentation to the hospital and patient was discharged from the Emergency Department. Subsequently, patient collapsed and died at home about 12 hours after discharging from hospital. He was then brought to our centre by police officer for post-mortem examination to determine the cause of death. Results: Post mortem examination was performed and noted to have there were multiple foci of yellowish nodules deposition over the bilateral parietal pleural membrane, pericardium and greater omentum. The omental bursa was inflamed and haemorrhagic. The pancreas weighed 200 g with haemorrhagic and necrotic changes of the surface and parenchyma of the whole pancreas with some spared healthy area at the head of pancreases. Histology of the pancreases showed extensive necrosis with area of viable tissue containing neutrophils and extra-vasated red blood cells, the ruptured vessel wall and haemorrhagic necrosis of adipose tissue. The liver showed generalised macro and micro steatosis. Conclusion: To the best of our knowledge, this is the first case of post-mortem diagnosis of acute haemorrhagic pancreatitis in paediatric age group reported in Malaysia.
| Original language | English |
|---|---|
| Pages (from-to) | 263-265 |
| Number of pages | 3 |
| Journal | International Medical Journal |
| Volume | 25 |
| Issue number | 4 |
| Publication status | Published - 1 Aug 2018 |
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Keywords
- Acute abdomen
- Acute haemorrhagic pancreatitis
- Constipation
- Forensic
- Sudden death
ASJC Scopus subject areas
- Medicine(all)
Cite this
A sudden death after the complaint of constipation - Not to overlook paediatric acute haemorrhagic pancreatitis. / Mohd Swarhib, Shafee @ Aung Thu Ya; Mohd. Nor, Faridah; Tan, L. J.; Tan, R. Z.
In: International Medical Journal, Vol. 25, No. 4, 01.08.2018, p. 263-265.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A sudden death after the complaint of constipation - Not to overlook paediatric acute haemorrhagic pancreatitis
AU - Mohd Swarhib, Shafee @ Aung Thu Ya
AU - Mohd. Nor, Faridah
AU - Tan, L. J.
AU - Tan, R. Z.
PY - 2018/8/1
Y1 - 2018/8/1
N2 - Introduction: Pancreatitis, an inflammatory condition of the pancreas, is rarely recognized in the paediatric age group and frequently be ignored in the clinical setting. Pancreatitis in children can be subdivided into acute pancreatitis, acute recurrent pancreatitis and chronic pancreatitis1. It is uncommon in paediatric age group compared to adult. Although acute pancreatitis is a rare condition in children, it shouldn't be overlooked as one of the differential diagnosis for acute abdomen by the attending clinician Case report: We hereby report a case of acute pancreatitis in a 4-year-old boy who presented with abdominal discomfort and constipation to Emergency Department. Unfortunately, proper diagnosis was not done upon initial presentation to the hospital and patient was discharged from the Emergency Department. Subsequently, patient collapsed and died at home about 12 hours after discharging from hospital. He was then brought to our centre by police officer for post-mortem examination to determine the cause of death. Results: Post mortem examination was performed and noted to have there were multiple foci of yellowish nodules deposition over the bilateral parietal pleural membrane, pericardium and greater omentum. The omental bursa was inflamed and haemorrhagic. The pancreas weighed 200 g with haemorrhagic and necrotic changes of the surface and parenchyma of the whole pancreas with some spared healthy area at the head of pancreases. Histology of the pancreases showed extensive necrosis with area of viable tissue containing neutrophils and extra-vasated red blood cells, the ruptured vessel wall and haemorrhagic necrosis of adipose tissue. The liver showed generalised macro and micro steatosis. Conclusion: To the best of our knowledge, this is the first case of post-mortem diagnosis of acute haemorrhagic pancreatitis in paediatric age group reported in Malaysia.
AB - Introduction: Pancreatitis, an inflammatory condition of the pancreas, is rarely recognized in the paediatric age group and frequently be ignored in the clinical setting. Pancreatitis in children can be subdivided into acute pancreatitis, acute recurrent pancreatitis and chronic pancreatitis1. It is uncommon in paediatric age group compared to adult. Although acute pancreatitis is a rare condition in children, it shouldn't be overlooked as one of the differential diagnosis for acute abdomen by the attending clinician Case report: We hereby report a case of acute pancreatitis in a 4-year-old boy who presented with abdominal discomfort and constipation to Emergency Department. Unfortunately, proper diagnosis was not done upon initial presentation to the hospital and patient was discharged from the Emergency Department. Subsequently, patient collapsed and died at home about 12 hours after discharging from hospital. He was then brought to our centre by police officer for post-mortem examination to determine the cause of death. Results: Post mortem examination was performed and noted to have there were multiple foci of yellowish nodules deposition over the bilateral parietal pleural membrane, pericardium and greater omentum. The omental bursa was inflamed and haemorrhagic. The pancreas weighed 200 g with haemorrhagic and necrotic changes of the surface and parenchyma of the whole pancreas with some spared healthy area at the head of pancreases. Histology of the pancreases showed extensive necrosis with area of viable tissue containing neutrophils and extra-vasated red blood cells, the ruptured vessel wall and haemorrhagic necrosis of adipose tissue. The liver showed generalised macro and micro steatosis. Conclusion: To the best of our knowledge, this is the first case of post-mortem diagnosis of acute haemorrhagic pancreatitis in paediatric age group reported in Malaysia.
KW - Acute abdomen
KW - Acute haemorrhagic pancreatitis
KW - Constipation
KW - Forensic
KW - Sudden death
UR - http://www.scopus.com/inward/record.url?scp=85049796601&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85049796601&partnerID=8YFLogxK
M3 - Article
VL - 25
SP - 263
EP - 265
JO - International Medical Journal
JF - International Medical Journal
SN - 1341-2051
IS - 4
ER -