alexa Onset Of Acute Pancreatitis With Transitor Type II In Diabetes Mellitus: Original Case Report
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Share This Page

Additional Info

Loading
Loading Please wait..
 

2nd International Conference on Surgery and Anesthesia
September 16-18, 2013 Hampton Inn Tropicana, Las Vegas, NV, USA

Manuela Stoicescu
ScientificTracks Abstracts: Surgery Curr Res
DOI: 10.4172/2161-1076.S1.012
Abstract
Objectives: The main objective of this clinical case report was to specify that the acute pancreatitis may start with a onset insulin- necesitant diabetes mellitus-with very high levels of the glycemia (400mg/dl), which later after the hygienic-dietetic, medical and surgical treatment, needed the progressive reduction through reconnaissance of the insulin dosage and later on the insulin interruption, because of the normal glycemia values without insulin. Materials and methods: A clinical case of a 42 year old man, a teacher, who came in the Emergency Department presented with a sudden epigastric intense pain, without radiation, accompanied by nausea, vomiting after drinking alcohol. The intestinal transit was present for stools and gases, presented sensibility at the epigastric palpation, without peritoneal irritation signs, and normal rectal touch. The laboratory tests were in normal range except serum amylase=2730u/dL, glycemia=400mg/ dl, cholesterol=280mg/dl, triglycerides=320mg/dl, HDL cholesterol=50, LDL cholesterol=40, the urine summary for glucose was positive, urinary amylase=1201. The normal EKG and values of cardiac enzymes has excluded a possible postero-inferior acute myocardial infarction. The abdominal radiography on empty stomach and gastroscopy was normal, and the abodminal ultrasound has shown hepatic steatosis. Diagnosis: Acute ethanolic pancreatitis, onset of type 2 diabetes mellitus in insulin- dependant, dislipidemia, and hepatic steatosis. Treatment: After the correct protocol of therapy for acute pancreatitis and equilibration of inaugural diabetes mellitus the patient had stayed with four doses s.c.12UI,10UI,-8UI, and -4UI of rapid Humulin R insulin but the evolution was with accumulation of a liquid collection in medium quantity in the Douglas?pouch, confirmed at the abdominal ultrasound and CT scan. After the emergency laparatomy, the drainage of the liquid that was acumulated in the peritoneal cavity was performed, with the lavage of the peritoneal cavity, but without surgical intervention on the pancreas, because it presented a normal macroscopic aspect, without hemorrhagic or necrosis areas. The post-operative evolution of the patient has been favourable and remain with an conventional insulin scheme in two prises s.c.16UIHN - 12UIHN, which later after repeated controls needed a progressive decreased of the insulin doses to avoid the hypoglicemia and the patient remain without the insulin with normal values of glycemia. Conclusions: 1.It is possible in context of acute pancreatitis to appeared sudden change in the function of the Langerhans β cells which produced insulin and after all complete protocol of therapy was performed everything to become in normal limits.2.This clinical case report releived how complex, impredictible and unexpected changes are possible to appear in acute pancreatitis and how carrefully we must to follow the patient with this dissease because surprises can develop any time.
Biography
Manuela Stoicescu was a research assistant at University of Cluj Napoca and presently she is Consultant Physician, Internal Medicine and Assistant Professor in Medicine and Pharmacy, department Medical Disciplines, at University of Oradea, Romania. She also works at Emergency Hospital department of Internal Medicine. She has published two books, one monograph and papers in reputed journals. She was invited as a speaker at 9 national and 15 international conferences. She is a Member of Romanian Society of Internal Medicine, Cardiology, Medical Chemistry, Biochemistry and Member of the Balkan Society of Medicine.
image PDF   |   image HTML
 

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords