AI Article Synopsis

  • - A 50-year-old man was diagnosed with new-onset diabetes and later developed severe abdominal pain and vomiting, leading to the discovery of acute pancreatitis through an abdominal CT scan.
  • - Despite ruling out common causes like gallstones and toxic factors, his condition worsened, showing signs of necrotic tissue and portal vein thrombosis over time.
  • - Further tests indicated a possible hidden cancer, and analysis of the fluid around his abdomen confirmed pancreatic adenocarcinoma, but unfortunately, he passed away a year after his initial diagnosis.

Article Abstract

A 50-year-old man presented with poorly controlled new-onset diabetes mellitus. Six months after diagnosis, episodes of intense abdominal pain with vomiting appeared. Abdominal CT revealed signs of acute pancreatitis with structural changes in the pseudocysts. In the absence of biliary lithiasis or a toxic etiology of acute pancreatitis, the patient progressed unfavorably with increased abdominal pain and fever. Control imaging tests (two and 10 months later) showed the evolution of phlegmonous/necrotic collections, together with portal vein thrombosis and splenomegaly. Given the suggestive signs of possible occult malignancy, such as portal thrombosis, histological analysis of the ascitic fluid revealed a pancreatic adenocarcinoma. Despite the initiation of chemotherapy, the patient died 12 months after diagnosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246101PMC
http://dx.doi.org/10.7759/cureus.62319DOI Listing

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