[Unexplained acute pancreatitis: the microlithiasis must be searched?].
In a large number of patients, with episodes of acute pancreatitis the etiology is not identified, even after initial clinical history, detailed physical examination, laboratory tests and biochemical exams and an transabdominal ultrasound. This patient are considered with a unexplained acute pancreatitis. In this cases the treatment is restricted to improvement of symptoms. These patients after treated tend to have new episodes with the risk of raising the rates of morbidity and mortality. Therefore, the identification of a cause and its prompt treatment prevent at recurrent episodes of pancreatitis. This review aims to draw attention to how best diagnostic approach when the light of evidence-based medicine, to search for causes of difficult identification with microlithiasis, occult stones, the anatomical variations of biliary and pancreatic duct and in addition to sphincter of Oddi dysfunction.
Ardengh
José Celso
JC
Departamento de Anatomia da Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo. jcelso@uol.com.br
Coelho
Djalma Ernesto
DE
dos Santos
José Sebastião
JS
Módena
José Luiz Pimenta
JL
Eulalio
José Marcus Raso
JM
Coelho
José Flávio
JF
D000208:Acute Disease; D006801:Humans; D020347:Lithiasis / Q000150:complications* / Q000175:diagnosis; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology*