title: [Variable course in acute pancreatitis exemplified by case reports].
abstract: The variable clinical presentation and natural history of acute pancreatitis are illustrated by case reports, namely a case with a falsely positive diagnosis of biliary pancreatitis, a case with acute interstitial pancreatitis of biliary origin, a patient with early and severe late systemic complications and with sterile necrotizing pancreatitis necessitating operative debridements twice, a patient with acute pancreatogenic ascites and ARDS requiring drainage and respiratory supportive care, a patient with biliary pancreatitis and operation for necrotizing cholecystitis, with a further, late intervention for pancreatic abscess, and a patient with internal drainage for a pseudocyst, complicated by acute biliary pancreatitis due to cholesterolosis of the gallbladder. Modern clinico-pathological classification of acute pancreatitis and modern definitions of pancreatic sepsis are important for determining prognosis and adequate treatment.
authors.affiliation: Chirurgische Klinik, Spital Neumünster, Zollikerberg ZH.
authors.forename: E
authors.initials: E
authors.lastname: Gemsenjäger
mesh_terms: D000038:Abscess / Q000150:complications; D000208:Acute Disease; D000368:Aged; D002764:Cholecystitis / Q000150:complications; D002769:Cholelithiasis / Q000150:complications; D005260:Female; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010192:Pancreatic Pseudocyst / Q000150:complications; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
vernacular_title: Unterschiedliche Krankheitsverläufe bei akuter Pankreatitis anhand von Fallbeispielen.