Deaths from acute pancreatitis: why do we miss the diagnosis so frequently?

摘要: Review of acute pancreatitis deaths between 1974 and 1984 revealed 126 patients, 53 (42%) whom were first diagnosed at autopsy. Pancreatitis was undiagnosed in life 13 (33%) the patients with a gallstone aetiology, 8 (40%) those an alcohol 21 unknown aetiology 17 (74%) due to other identified aetiological factors. These more commonly died within week their illness, often had significant underlying medical disease tended have less severe degrees pancreatic parenchymal destruction. Only 7 (13%) presented abdominal pain. The majority (68%) atypically known or suspected conditions, internists, post-operatively (19%). Failure diagnose these most lack consideration diagnosis, usually because atypical presentation, consequent omission amylase determination—made only 5 (9%) patients.