Akut pankreatit ve trombotik trombositopenik purpura birlikteligi: Vaka sunumu
Acute pancreatitis and thrombotic thrombocytopenic purpura: Case report
Haydarpasa Numune Egitim ve Arastirma Hastanesi, Gastroenteroloji Bölümü2, Istanbul
Istanbul Üniversitesi Tip Fakültesi Gastroenteroloji Bilim Dali3, Hematoloji Bilim Dali4, Istanbul
Özet
Trombotik trombositopenik purpura nadir görülen bir hastalikdir. Literatürde, trombotik trombositopenik purpura’nin komplikasyonu olarak akut pankreatit bildirilmistir. Bu yazida, karin agrisi ile acil poliklinige basvuran, klinik, radyolojik ve biyokimyasal bulgular ile akut pankreatit tanisi alan ve takip sirasinda nörolojik bulgularin eklenmesi ile trombotik trombositopenik purpura tanisi konulan bir hasta sunuldu. Destek tedavi ve plazmaferez ile klinik semptomlar ve trombotik trombositopenik purpura düzeldi.
Abstract
Thrombotic thrombocytopenic purpura is a very rare disease. In the literature, pancreatitis has been reported as a complication of thrombotic thrombocytopenic purpura. We describe a patient who admitted to emergency service complaining of abdominal pain and diagnosed with thrombotic thrombocytopenic purpura by additional neurological symptoms during the follow-up period. He was diagnosed as thrombotic thrombocytopenic purpura and acute pancreatitis with clinical, radiological and laboratory findings. Supportive therapy and plasmapheresis resulted in clinical improvement and resolution of thrombotic thrombocytopenic purpura.
