title: Acute ischemic pancreatitis associated with acute type B aortic dissection: a case report.
abstract: A 47 year-old man, presenting with sudden back pain in the absence of abdominal discomfort, was diagnosed with acute type B aortic dissection which extended to the celiac and the splenic arteries. Antihypertensive treatment was initiated. However, he subsequently complained of upper abdominal pain with increased amylase levels. Computed tomography scan (CT) revealed new accumulation of peripancreatic fluid with no signs of further aortic or visceral dissection. A protease inhibitor was administered for mild acute pancreatitis. Follow-up CT demonstrated disappearance of thrombosed false lumen of the splenic artery and reduction of the effusion. The patient was discharged without any surgical interventions.
authors.affiliation: Department of Cardiovascular Surgery, Onomichi General Hospital, Onomichi, Hiroshima, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Hamamoto
keywords: acute pancreatitis; acute type B aortic dissection
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