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• W2012736699 abstract "P.M. female 2 years 2 mm and transferred from a suburban hospital for vomiting incoercibile and slight increase of pancreatic enzymes. Born at 37 weeks of pregnancy, TC placental aging emergency. Birth weight kg 1.800, hypoglycaemia and jaundice, neonatal, mixed feeding for 10 months then formula, introduction of gluten in 6 months. To 12 months starting post-meal regurgitation treated by treating with Ranitidine and hydrolysed milk with weight that you always kept below 5° PC. Gastric symptoms vomiting and abdominal pain persisted until hospitalization in our Department with a weight less than 5°PC always. Discrete conditions except for a modest, colorful rosy-dystrophy pale, abdomen negotiable but very sore in the epigastrium. Surveys showed a slight increase of amylase total (112 u/l), pancreatic amylase (35 u/l) and lipase (706 μ/l) while the remaining routine blood tests, TTG, AGA, HLA for celiac disease, cystic fibrosis genetic and hereditary pancreatitis, TORCH, stool on 3 samples pest and sweat tests were negative. Eco-abdomen was normal. Personal and family history of absolutely negative, no case of pancreatitis in a child or family, no recent abdominal trauma, no recent intake of drugs, no recent infection or diabetes or metabolic disorders or systemic pathology (Kawasaki). Gave just the idea of being an idiopathic pancreatitis, let us remember that account for 25% of pancreatitis. Beginning therapy with: Partial parenteral nutrition, light diet ipolipidica, Meropenem 20 mg/kg dose × 3, Omeprazole 0.7 mg/kg day. After a few days of therapy of pancreatic enzymes values came in (112 total amylase) but with persistent vomiting and lack of appetite. Eco-abdomen always the norm. At day 5 of the small hospital with vomiting expelled a foreign body of cylindrical shape about 5 cm long and 1 cm in diameter blackish-white that the histologist called fibrous materials of vegetable origin. The EGDS, practiced at a later date because it was formerly contraindicated for pancreatitis, it showed a stomach normo-conformed and expandable with standard normoemica mucosa and presence in the antral region, adjacent to the pylorus, broad-based image with bloody not depressed area. Gastric biopsy showed elements of inflammation clinical conditions of the small improved drastically with the complete disappearance of vomiting and increased appetite. Follow-up and found the complete disappearance of vomiting, still feeds fine without problems and presents a significant increase. In conclusion remain doubts about how a child so small could swallow a foreign object of such size and timing of events based on the early onset of symptoms (reflux, iplv???). Mild pancreatitis was of course due to mechanical obstruction exercised by foreign body on the pancreatic duct." @default.
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• W2012736699 date "2013-09-01" @default.
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• W2012736699 title "A strange pancreatitis" @default.
• W2012736699 doi "https://doi.org/10.1016/j.dld.2013.08.190" @default.
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