Acute ischemic pancreatitis following cardiac arrest: a case report.
BACKGROUND
Ischemia is an established cause of acute pancreatitis; however, acute pancreatitis has never been reported after cardiac arrest.


METHODS
We report a case of acute pancreatitis following cardiac arrest with prolonged cardiopulmonary resuscitation in a 58-year-old man, the mechanism of which is likely to be ischemic. The patient developed severe ischemic encephalopathy, leading to death. Possible causes of acute pancreatitis in a context of cardiopulmonary resuscitation are discussed.


CONCLUSIONS
In case of abdominal distension following cardiac arrest, diagnoses of mesenteric ischemia and acute ischemic pancreatitis should be considered. Such digestive complications occurring after cardiac arrest probably reflect the severity of the ischemia.
Piton
Gaël
G
Intensive Care Unit, Besançon University Hospital, Besançon, France. gpiton@chu-besancon.fr
Barbot
Olivier
O
Manzon
Cyril
C
Moronval
Frederic
F
Patry
Cyrille
C
Navellou
Jean Christophe
JC
Belle
Evelyne
E
Capellier
Gilles
G
D000208:Acute Disease; D006323:Heart Arrest / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000473:pathology; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000209:etiology*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed