Perforated appendicitis masquerading as acute pancreatitis in a morbidly obese patient |
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Authors: | Forster Michael-J Akoh Jacob-A |
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Affiliation: | Department of Surgery,Plymouth Hospitals NHS Trust Plymouth, PL6 8DH,United Kingdom |
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Abstract: | Diagnosis and treatment of common conditions in morbidly obese patients still pose a challenge to physicians and surgeons. Sometimes too much reliance is put on investigations that can lead to a misdiagnosis. This case demonstrates an obese woman admitted under the medical team with a presumed diagnosis of pneumonia, who was later found to have an acute abdomen and raised amylase, which led to an assumed diagnosis of pancreatitis. She died within 24 h of admission and post mortem confirmed the cause of death as systemic sepsis due to perforated appendicitis, with no evidence of pancreatitis. Significantly elevated serum amylase level may occur in non-pancreatitic acute abdomen. |
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Keywords: | Morbid obesity Perforated appendicitis Pneumonia Serum amylase |
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