Abstract | CONTEXT: CASE REPORT: An 18-year old Caucasian man was admitted to our Intensive Care Unit with cholinergic crisis symptomatology, after the ingestion of an unknown amount of a carbamate insecticide ( methomyl). Pseudocholinesterase levels were 2 kU/L on the day of admission (reference range: 5.4-13.2 kU/L). Two days after admission, an abdominal CT scan revealed blurring of the peripancreatic fat planes, inflammation and swelling of the pancreas, and a substantial amount of ascitic fluid in the left anterior pararenal space and pelvis. Paracentesis and analysis of the ascitic fluid demonstrated findings diagnostic of pancreatic ascites. There had been no other evident predisposing factors for acute pancreatitis, other than methomyl intoxication. Eleven days after admission, pseudocholinesterase levels returned to normal, while a new abdominal CT scan revealed the formation of intrapancreatic fluid collection. The patient was discharged in good physical condition two weeks after admission. A follow up abdominal CT scan performed one month later showed a significant reduction in the size of the intrapancreatic fluid. DISCUSSION:
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Authors | Constantinos Makrides, Mikes Koukouvas, Gewrgios Achillews, Sotiris Tsikkos, Emmeleia Vounou, Marios Symeonides, Panikos Christodoulides, Marios Ioannides |
Journal | JOP : Journal of the pancreas
(JOP)
Vol. 6
Issue 2
Pg. 166-71
(Mar 10 2005)
ISSN: 1590-8577 [Electronic] Italy |
PMID | 15767733
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Cholinesterase Inhibitors
- Insecticides
- Methomyl
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Topics |
- Acute Disease
- Adolescent
- Ascites
(chemically induced, complications, diagnosis)
- Ascitic Fluid
(pathology)
- Cholinesterase Inhibitors
(poisoning)
- Humans
- Insecticides
(poisoning)
- Male
- Methomyl
(poisoning)
- Pancreatitis
(chemically induced, complications, diagnosis)
- Suicide, Attempted
- Tomography, X-Ray Computed
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