Matches in SemOpenAlex for { <https://semopenalex.org/work/W4316079084> ?p ?o ?g. }
Showing items 1 to 76 of
76
with 100 items per page.
- W4316079084 endingPage "e2157" @default.
- W4316079084 startingPage "e2157" @default.
- W4316079084 abstract "Introduction: Elevated lipase levels of three or more times the upper limit of normal along with abdominal pain and correlated findings on CT imaging can often diagnose a case of acute pancreatitis. Although uncommon, there are alternative causes of hyperlipasemia not related to acute pancreatitis that clinicians should be aware of. Here we present a case of significantly elevated lipase secondary to duodenal obstruction caused by gastrostomy tube migration. Case Description/Methods: A 30-year-old nonverbal woman with a past medical history of cerebral palsy, refractory grand mal seizures, and chronic (fluoroscopically placed) gastrostomy tube (last changed about one month prior) presented to the hospital for breakthrough seizures, non-bilious vomiting of tube feeds, and abdominal pain. She arrived afebrile with a blood pressure of 165/85 mmHg and otherwise normal vitals. On examination, the patient was nonverbal and appeared uncomfortable with a moderately tender and distended abdomen. The external portion of her gastrostomy tube did not have signs of surrounding infection. Admission laboratory studies were remarkable for a white blood cell count of 13.3 k/ul and lipase of 8216 IU/L. Abdominal CT (Figure) showed a normal pancreas, but noted air fluid levels within the stomach as well as the balloon of the percutaneous feeding tube inflated within the second portion of the duodenum, concerning for obstruction. Patient was treated with a nasogastric tube to allow for decompression and the Interventional Radiology service repositioned the gastrostomy tube back into the stomach. After adjustment, the gastrostomy tube placement was confirmed and feeds were re-started. Patient was asymptomatic and tolerating her tube feeds without issue in less than 48 hours from initial presentation. Discussion: While this case initially appeared to be a straightforward diagnosis of acute pancreatitis, the imaging proved otherwise. Moreover, the patient’s rapid clinical improvement after alleviating the obstruction helped support the alternative diagnosis. It is likely that the obstruction inhibited forward flow of the pancreatic enzymes and instead increased diffusion into the bloodstream causing elevated lipase levels. Clinicians should be aware of the possibility of small bowel obstruction as a cause of hyperlipasemia.Figure 1.: CT abdomen showing percutaneous feeding tube with balloon inflated in the second portion of the duodenum (red arrow) and mild fluid level within the stomach (blue arrow)." @default.
- W4316079084 created "2023-01-14" @default.
- W4316079084 creator A5018381187 @default.
- W4316079084 creator A5018437920 @default.
- W4316079084 creator A5024114411 @default.
- W4316079084 creator A5060048630 @default.
- W4316079084 creator A5063678169 @default.
- W4316079084 creator A5069695605 @default.
- W4316079084 date "2022-10-01" @default.
- W4316079084 modified "2023-09-27" @default.
- W4316079084 title "S3417 Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration" @default.
- W4316079084 doi "https://doi.org/10.14309/01.ajg.0000870308.50834.4e" @default.
- W4316079084 hasPublicationYear "2022" @default.
- W4316079084 type Work @default.
- W4316079084 citedByCount "0" @default.
- W4316079084 crossrefType "journal-article" @default.
- W4316079084 hasAuthorship W4316079084A5018381187 @default.
- W4316079084 hasAuthorship W4316079084A5018437920 @default.
- W4316079084 hasAuthorship W4316079084A5024114411 @default.
- W4316079084 hasAuthorship W4316079084A5060048630 @default.
- W4316079084 hasAuthorship W4316079084A5063678169 @default.
- W4316079084 hasAuthorship W4316079084A5069695605 @default.
- W4316079084 hasBestOaLocation W43160790841 @default.
- W4316079084 hasConcept C10138342 @default.
- W4316079084 hasConcept C141071460 @default.
- W4316079084 hasConcept C162324750 @default.
- W4316079084 hasConcept C2775967933 @default.
- W4316079084 hasConcept C2776670229 @default.
- W4316079084 hasConcept C2776809568 @default.
- W4316079084 hasConcept C2777014482 @default.
- W4316079084 hasConcept C2778045676 @default.
- W4316079084 hasConcept C2779422922 @default.
- W4316079084 hasConcept C2779983558 @default.
- W4316079084 hasConcept C2780075904 @default.
- W4316079084 hasConcept C2780852908 @default.
- W4316079084 hasConcept C2780955771 @default.
- W4316079084 hasConcept C54400483 @default.
- W4316079084 hasConcept C71924100 @default.
- W4316079084 hasConcept C90924648 @default.
- W4316079084 hasConceptScore W4316079084C10138342 @default.
- W4316079084 hasConceptScore W4316079084C141071460 @default.
- W4316079084 hasConceptScore W4316079084C162324750 @default.
- W4316079084 hasConceptScore W4316079084C2775967933 @default.
- W4316079084 hasConceptScore W4316079084C2776670229 @default.
- W4316079084 hasConceptScore W4316079084C2776809568 @default.
- W4316079084 hasConceptScore W4316079084C2777014482 @default.
- W4316079084 hasConceptScore W4316079084C2778045676 @default.
- W4316079084 hasConceptScore W4316079084C2779422922 @default.
- W4316079084 hasConceptScore W4316079084C2779983558 @default.
- W4316079084 hasConceptScore W4316079084C2780075904 @default.
- W4316079084 hasConceptScore W4316079084C2780852908 @default.
- W4316079084 hasConceptScore W4316079084C2780955771 @default.
- W4316079084 hasConceptScore W4316079084C54400483 @default.
- W4316079084 hasConceptScore W4316079084C71924100 @default.
- W4316079084 hasConceptScore W4316079084C90924648 @default.
- W4316079084 hasIssue "10S" @default.
- W4316079084 hasLocation W43160790841 @default.
- W4316079084 hasLocation W43160790842 @default.
- W4316079084 hasOpenAccess W4316079084 @default.
- W4316079084 hasPrimaryLocation W43160790841 @default.
- W4316079084 hasRelatedWork W1479352466 @default.
- W4316079084 hasRelatedWork W2018368600 @default.
- W4316079084 hasRelatedWork W2111083831 @default.
- W4316079084 hasRelatedWork W2278548214 @default.
- W4316079084 hasRelatedWork W2353150531 @default.
- W4316079084 hasRelatedWork W2920186242 @default.
- W4316079084 hasRelatedWork W4200605447 @default.
- W4316079084 hasRelatedWork W4220858136 @default.
- W4316079084 hasRelatedWork W4224300820 @default.
- W4316079084 hasRelatedWork W4235269963 @default.
- W4316079084 hasVolume "117" @default.
- W4316079084 isParatext "false" @default.
- W4316079084 isRetracted "false" @default.
- W4316079084 workType "article" @default.