Year 2022 / Volume 114 / Number 2
Letter
Pancreatic encephalopathy, a little known complication of acute pancreatitis

122-123

DOI: 10.17235/reed.2021.8241/2021

Paloma Albacete Ródenas, María Luisa Ortiz Sánchez, Urszula Gajownik, Fernando Alberca de las Parras, José Antonio Pons Miñano,

Abstract
A 62-year-old male presented with severe post-endoscopic retrograde cholangiopancreatography (post-ERCP) acute pancreatitis. He required admission to the Intensive Care Unit (ICU) twice due to respiratory and renal failure and neurological deterioration. On the hospitalization ward, he presented a fluctuating alteration of the level of consciousness, with bradypsychia, disorientation and somnolence, which persisted after hemodynamic, metabolic and renal stabilization. A brain magnetic resonance imaging (MRI) was performed showing focal lesions due to small vessel disease, some with cavitations due to necrosis, and mild to moderate subcortical atrophy. A diagnosis of pancreatic encephalopathy was made given the clinical and radiological findings. The patient recovered full cognitive capacity after one week with adequate nutrition supported by protein supplementation.
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Albacete Ródenas P, Ortiz Sánchez M, Gajownik U, Alberca de las Parras F, Pons Miñano J. Pancreatic encephalopathy, a little known complication of acute pancreatitis. 8241/2021


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Publication history

Received: 28/07/2021

Accepted: 03/09/2021

Online First: 01/10/2021

Published: 07/02/2022

Article revision time: 32 days

Article Online First time: 65 days

Article editing time: 194 days


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