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Poorly Controlled New-Onset Diabetes Mellitus and Other Atypical Signs as an Early Sign of Pancreatic Adenocarcinoma.
Cordero Pérez, Francisco Josué; Rodríguez López, Pablo; Oleaga Gómez, Paula; Antona Herranz, Marta; Martín Garrido, Eva Purificación.
Afiliación
  • Cordero Pérez FJ; Department of Internal Medicine, Complejo Asistencial de Zamora, Zamora, ESP.
  • Rodríguez López P; Department of Medicine, Faculty of Medicine, University of Salamanca, Salamanca, ESP.
  • Oleaga Gómez P; Department of Internal Medicine, Complejo Asistencial de Zamora, Zamora, ESP.
  • Antona Herranz M; Department of Radiodiagnostics, Complejo Asistencial de Zamora, Zamora, ESP.
  • Martín Garrido EP; Department of Gastroenterology, Complejo Asistencial de Zamora, Zamora, ESP.
Cureus ; 16(6): e62319, 2024 Jun.
Article en En | MEDLINE | ID: mdl-39006617
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos