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Revista chilena de pediatría

versión impresa ISSN 0370-4106


ARGOLLO M, PAMELA; GARCIA B, CRISTIAN  y  HARRIS D, PAUL R. Pancreatitis aguda recurrente, caso clínico. Rev. chil. pediatr. [online]. 2007, vol.78, n.2, pp.169-175. ISSN 0370-4106.

Recurrent acute pancreatitis Background: Recurrent acute pancreatitis (RAP) is defined as episodes of acute pancreatitis with complete clinical and anatomical resolution between each episode. The etiology is diverse in children (20-35% unknown). Objective: Analyze the etiology, diagnosis and most appropriate screening of RAP in children. Case-report: A 9 year-old boy with 6 episodes of acute pancreatitis (AP); 4 of them required hospital admission. The study included a normal colangiopancreatography, normal basic immunologic and metabolic exams and negative genetic assessment of the cystic fibrosis´ most common mutation. During the episodes of AP, 3 computed tomography images were obtained and showed AP in different degrees (Baltasar C and E). Genetic testing for hereditary pancreatitis was negative. Laparoscopic colecistectomy was performed. Conclusion: RAP must be suspected in children with recurrent abdominal pain and elevated serum amylase-lipase concentration, in order to initiate an adequate evaluation

Palabras clave : recurrent pancreatitis; biliar lithiasis; hereditary pancreatitis.

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