CONTEXT: Acute pancreatitis during pregnancy is rare and commonly occurs in association with biliary disease. Preeclampsia is associated with microvascular abnormalities that may involve cerebral, placental, hepatic, renal and splanchnic circulation and rarely can cause acute pancreatitis. CASE REPORT: A case of acute pancreatitis in a patient with preeclampsia-eclampsia where the diagnosis was missed initially that resulted in a protracted course and development of organized pancreatic necrosis. The pancreatic necrosis resolved with conservative management over 8 weeks. CONCLUSIONS: The development of severe hypoalbuminemia, out of proportion to proteinuria, hypocalcemia and findings of capillary leak should alert the physician to search for other inflammatory causes, including acute pancreatitis so that early and effective management be given to avoid complications.

Adult↗

PubMed2004

Subarachnoid hemorrhage after exercise stress testing.

Exercise stress testing is generally a safe, common procedure used to evaluate patients with suspected or known cardiopulmonary disease. Noncardiac complications are rare. A single case of hypertensive intracranial hemorrhage as a result of exercise stress testing is reported in the literature. This report presents a case of subarachnoid hemorrhage from a ruptured berry aneurysm after stress testing in a patient with autosomal polycystic kidney disease and renal failure.

Diagnosis, Differential↗

PubMed2003

Microscopic hematuria.

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Female↗

PubMed2003

Recurrent hamburger thyrotoxicosis.

Recurrent episodes of spontaneously resolving hyperthyroidism may be caused by release of preformed hormone from the thyroid gland after it has been damaged by inflammation (recurrent silent thyroiditis) or by exogenous administration of thyroid hormone, which might be intentional or surreptitious (thyrotoxicosis factitia). Community-wide outbreaks of "hamburger thyrotoxicosis" resulting from inadvertent consumption of beef contaminated with bovine thyroid gland have been previously reported. Here we describe a single patient who experienced recurrent episodes of this phenomenon over an 11-year period and present an approach to systematically evaluating patients with recurrent hyperthyroidism.

Animals↗

PubMed2003