A. Korzets et al., ACUTE NECROTIZING PANCREATITIS, LACTIC-ACIDOSIS AND PROLONGED HYPOGLYCEMIA IN A HEMODIALYZED PATIENT - A LOGICAL BUT UNFORTUNATELY FATAL COMBINATION, Clinical nephrology, 45(6), 1996, pp. 410-412
A hemodialysed patient with abdominal pain, severe lactic acidosis and
prolonged hypoglycemia is described. The diagnosis of acute necrotizi
ng pancreatitis was delayed, and the patient died from both systemic a
nd peripancreatic complications of the acute pancreatitis. The article
deals with the problem of diagnosing acute pancreatitis in an end-sta
ge renal failure (ESRF) patient; on the possible surgical options open
to the physician in the management of acute pancreatitis and on a pat
hophysiological explanation behind both the lactic acidosis and hypogl
ycemia in this patient.