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Search Results for pancreatic
Abstract Number: 574
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 52 year-old man was hospitalized for hypoxia one month after surgery for ruptured appendicitis. He also reported abdominal pain and steatorrhea along with a 50 pound weight loss in five months. On exam he was anicteric but cachectic. CT pulmonary angiogram on admission revealed peripheral-based pulmonary lesions concerning for septic emboli and […]
Abstract Number: 579
SHM Converge 2021
Case Presentation: A thirty-three year old woman with a history of alcohol-induced chronic pancreatitis and sphincter of Oddi dysfunction presented with dyspnea and a non-productive cough. She was admitted to the intensive care unit for acute hypoxic respiratory failure. On arrival, she was febrile and hypoxic, saturating 80% on room air. Labs were notable for […]
Abstract Number: 604
SHM Converge 2024
Case Presentation: A 70-year-old female with a complex medical history including Barrett’s esophagus, Class 3 obesity, obstructive sleep apnea, obesity, atrial fibrillation, and adenocarcinoma of the esophagus in remission, presented with three days of intractable nausea, vomiting, and epigastric abdominal pain. She categorized the pain as sharp and radiating to the right and left upper […]
Abstract Number: 610
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Inflammatory polyarthritis and panniculitis are rare sequela of pancreatic disorders. This condition has been termed Polyarthritis, Panniculitis and Pancreatitis (PPP) and occurs in less than 5% of patients with underlying pancreatic disease. A 64 year old man presented with chronic erythematous, edematous, and tender subcutaneous nodules on all four extremities. He also had bilaterally […]
Abstract Number: 644
SHM Converge 2023
Case Presentation: A 61-year-old African American male with a history of alcohol use disorder and chronic pancreatitis presented to the hospital with shortness of breath and severe chest pain that worsened with inspiration. Two months prior to admission he was found to have a 17x12x12 cm pancreatic pseudocyst and subsequently underwent cystogastrostomy with stent placement […]
Abstract Number: 651
SHM Converge 2024
Case Presentation: A 58-year-old male with a history of alcohol use disorder, recurrent and chronic pancreatitis and a recently identified 2.7cm pancreatic head pseudocyst on a prior admission, presented with abdominal pain and melena. CT scan of the abdomen and pelvis with contrast demonstrated extravasation of contrast into the duodenal lumen. A CT GI bleed […]
Abstract Number: 739
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 35 year old African American woman with a past medical history of alcohol and tobacco abuse and acute pancreatitis presented to the hospital with a progressive dyspnea and nonproductive cough for one month not responding to outpatient antibiotics. Six months prior to presentation, she was hospitalized for acute pancreatitis that was attributed […]
Abstract Number: 851
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: This is a 35-year old Indian female, living in the United States for the past several years, presented with chronic mid-epigastric and left upper quadrant pain radiating to the back, nausea, and bilious vomiting. She complained of oily loose stools for the past 2 months. Her medical history is notable for insulin-dependent diabetes […]
Abstract Number: 867
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65-year-old male presented to the emergency department with a 5-week history of epigastric pain, nausea, constipation and weight loss. Past medical history was significant for combined liver and kidney transplant 3 years prior due to hepatitis C cirrhosis and hepatorenal syndrome. Chronic immunosuppression consisted of mycophenolate mofetil, tacrolimus and prednisone. Laboratory studies […]
Abstract Number: 880
Hospital Medicine 2020, Virtual Competition
Case Presentation: Pancreaticopleural fistula is a rare and serious complication of acute and chronic pancreatitis. This phenomenon develops due to a leak from an incompletely formed or disrupted pseudocyst, though it can also result from direct pancreatic duct leak. Although few case reports identify pancreaticopleural fistula causing recurrent pleural effusion and empyema, we describe the […]