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논문분류	춘계학술대회 초록집
제목	Hypertriglyceridemia-induced acute necrotizing pancreatitis in kidney transplant patient
저자	Somin Lee
출판정보	2023; 2023(1):
키워드
초록	Acute pancreatitis (AP) is a rarely complication in kidney transplant recipients (KTRs) and is associated with higher morbidity and mortality rates. The incidence of AP in KTRs varies 1.2%-6.8%, with a higher rates than general population. The diagnosis is often difficult because of the absence of typical symptoms and laboratory findings. A 34-year-old female, with history of living related ABO compatible kidney transplantation in April 2015 (8 years ago), presented with nausea, vomiting, and mild pain in epigastric area at 5 days ago. The laboratory findings revealed the serum creatinine of 2.04 mg/dL, serum amylase of 1244 U/L, lipase of 1250 U/L, total bilirubin of 4.8 mg/dL, total cholesterol of 392 mg/dL, triglyceride of 2,734 mg/dL, C-reactive protein of 46.9 mg/dL and tacrolimus level of 4.4 ng/mL. The abdominal CT scan showed a necrotizing pancreatitis with large acute necrotic collection in peripancreatic space and both paracolic gutter. The patient was treated with bowel rest, intravenous fluid replacement, reduced immunosuppressive agents and antibiotics in intensive care unit. Her symptoms were gradually improved, and she was discharge home without relapse.
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