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Fırat Tıp Dergisi |
2009, Cilt 14, Sayı 4, Sayfa(lar) 300-303 |
[ Turkish ] [ Tam Metin ] [ PDF ] |
Acute Pancreatitis due to Mushroom Poisoning: A Case Report |
Türker YARDAN1, Hızır Ufuk AKDEMİR1, Ahmet BAYDIN1, Mehmet Selim NURAL2, Özgür ECEMİŞ3, Selim GENÇ1 |
1Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, SAMSUN, Türkiye 2Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, SAMSUN, Türkiye 3Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Gastroenteroloji Departmanı, SAMSUN, Türkiye |
Different organ dysfunctions may be seen in mushroom poisoning. However, acute pancreatitis is a rare complication of mushroom poisoning. Sixtysix
years old women admitted to emergency department 24 h after wild mushroom ingestion with complaints of nausea, vomiting and abdominal pain.
The epigastric discomfort was determined in initial examination. It was determined the elevated serum hepatic transaminases, amylase and lipase
levels on admission. Computerized tomography of the abdomen showed minimal peripancreatic fluid. The patient was diagnosed as acute pancreatitis
and mushroom poisoning and he was observed in emergency intensive care unit. Hepatic transaminases and pancreatic enzymes levels were progressively
decreased and the clinical course was good during the observation period. The patient recovered without complication and was discharged from
the hospital. Early symptoms of mushroom poisoning and acute pancreatitis are similar. Possibility of acute pancreatitis as well as other organ dysfunctions
should be investigated in patients with mushroom poisoning. Early recognition and appropriate therapy for acute pancreatitis and mushroom
poisoning may lead to an improved prognosis and complications.
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