Pancreatitis aguda y elevación de aminotransferasas: ¿en qué pensar? Reporte de caso y revisión de la literatura

  • Diana Carolina Díaz
  • William Otero Regino
  • Martin Gómez Zuleta
Palabras clave: Pancreatitis biliar, ALT, ultrasonografía endoscópica, ecografía

Resumen

La litiasis biliar está asociada desarrollo de pancreatitis aguda en el 40% de los casos, sin embargo la sen- sibilidad diagnóstica de la ecografía abdominal y la tomografía es limitada para hallar esta etiología. En el presente caso se ejemplifica el uso de las enzimas hepáticas aminotransferasas para la predicción del origen biliar en paciente con colecistectomía y ecografía abdominal negativa para colelitiasis y coledocolitiasis. Se presenta un paciente de 55 años, con un cuadro característico de pancreatitis aguda de origen biliar, a quien se hizo el diagnóstico y el tratamiento endoscópico recomendado. 

Biografía del autor/a

Diana Carolina Díaz
Residente de Medicina Interna. Universidad Nacional de Colombia. Bogotá, Colombia 
William Otero Regino
Profesor de Medicina. Gastroenterólogo, Unidad de Gastroenterología. Universidad Nacional de Colombia. Clínica Fundadores, Bogotá, Colombia 
Martin Gómez Zuleta
Profesor asociado de Gastroenterología, Facultad de Medicina, Universidad Nacional. Gastroenterólogo Hospital El Tunal. Gastroenterólogo UGEC. Bogotá, Colombia 

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Publicado
2016-10-28
Sección
Reporte de Casos