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Acute Pancreatitis: An Uncommon Cause of Acute Renal Failure in a Renal Transplanted Patient

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Abstract (2. Language): 
In renal transplant patients, acute pancreatitis is an unusual complication and mortality and morbidity of it is much higher than that of normals. Six years after transplantation, a 22-year-old man developed acute pancreatitis due to bilier lithiasis and acute renal failure. His condition improved dramatically with conservative theraphy and his renal function regressed to baseline levels. Elective cholecystectomy was performed three weeks later. We discussed the side effects of immunosuppressive drugs regarding acute pancreatitis and to highlight the beneficial effect of gallstone screening in renal transplanted patients.
Abstract (Original Language): 
Renal transplantasyonlu olgularda, akut pankreatit nadir görülür ve normal popülasyona oranla daha yüksek mortalite ve morbiditeye sahiptir. Yirmi iki yaşında erkek hastada, renal transplantasyondan 6 yıl sonra bilier lithiasis nedeni ile akut pankreatit ve akut böbrek yetersizliği gelişti. Konservatif tedavi ile durumu düzelen olgunun renal fonksiyonları bazal değerlere geriledi. Üç hafta sonra elektif kolesistek-tomi yapıldı. Burada, immunosüpresif ilaçların akut pankreatit etiyolojisindeki rollerini ve renal transplantasyonlu olgularda safra kesesi taşlarının incelenmesi gereğini tartıştık.
FULL TEXT (PDF): 
180-181

REFERENCES

References: 

1. Slakey DP, Johnson JP, Eziperle DJ, et al. Management of severe pancreatitis in renal transplant recipients. Ann Surg 1997; 225(2): 217-22.
2. Asztalos L, Kincses Z, Berozi C, et al. Acute pancreatitis after kidney transplantation. Magy Seb 2001; 54(2):91-4.
3. Alberu J, Gatica M, Cachafeiro-Vilor M, et al. Asymptomatic galls¬tones and duration of cyclosporine use in kidney transplant recipients. Rev Invest Clin 2001; 53(5):396-400.
4. Greenberger NJ, Toskes PP. In: Braunwald E, et al. Principles of In¬ternal Medicine. 15* ed. Mc Graw Hill. Vol 2, 2001; pp 1792-1799.
5. Maio R, Carraca J, Baatista L, et al. Laparoscopic cholecystectomy and renal transplantation. Transplantation Proceedings 2003; 35:
1100-1101.
6. Melvin WS, Meier DJ, Elkhammas EA, et al. Prophylactic cholecystectomy is not indicated following renal transplantation.
Am J Surg 1998; 175(4):317-9.
7. Graham SM, Flowers JL, Schweitzer E, Bartlett ST, Imbembo AL. The utility of prophylactic laparoscopic cholecystectomy in transplant candidates. Am J Surg 1995; 169(1):44-8.
8. Badalamenti S, Delazio C, Castelnovo C, et al. High prevalence of silent gallstone disease in dialysis patients. Nephron 1994; 66:
225-227.

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