Chylothorax as a rare complication of acute pancreatitis in a 25-year-old woman after cesarean section

Anna Smędra; Maciej Barzdo; Justyna Krupińska; Joanna Klemm; Waldemar Machała; Stefan Szram; Jarosław Berent

doi:10.5114/amsik.2015.58527

eISSN: 1689-1716
ISSN: 0324-8267

Archiwum Medycyny Sądowej i Kryminologii/Archives of Forensic Medicine and Criminology

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

3/2015
vol. 65

Send email

Copy url:

abstract:

Case report

Chylothorax as a rare complication of acute pancreatitis in a 25-year-old woman after cesarean section

Anna Smędra

,

Maciej Barzdo

,

Justyna Krupińska

,

Joanna Klemm

,

Waldemar Machała

,

Stefan Szram

,

Jarosław Berent

Arch Med Sąd Kryminol 2015; 65 (3): 182–189

DOI: https://doi.org/10.5114/amsik.2015.58527

Online publish date: 2016/03/18

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Smędra A, Barzdo M, Krupińska J, et al. Chylothorax as a rare complication of acute pancreatitis in a 25-year-old woman after cesarean section. Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology. 2015:182-189. doi:10.5114/amsik.2015.58527.

APA

Smędra, A., Barzdo, M., Krupińska, J., Klemm, J., Machała, W.,  & Szram, S. et al. (2015). Chylothorax as a rare complication of acute pancreatitis in a 25-year-old woman after cesarean section. Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology, 182-189. https://doi.org/10.5114/amsik.2015.58527

Chicago

Smędra, Anna, Maciej Barzdo, Justyna Krupińska, Joanna Klemm, Waldemar Machała, Stefan Szram,  and Jarosław Berent. 2015. "Chylothorax as a rare complication of acute pancreatitis in a 25-year-old woman after cesarean section". Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology: 182-189. doi:10.5114/amsik.2015.58527.

Harvard

Smędra, A., Barzdo, M., Krupińska, J., Klemm, J., Machała, W., Szram, S.,  and Berent, J. (2015). Chylothorax as a rare complication of acute pancreatitis in a 25-year-old woman after cesarean section. Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology, pp.182-189. https://doi.org/10.5114/amsik.2015.58527

MLA

Smędra, Anna et al. "Chylothorax as a rare complication of acute pancreatitis in a 25-year-old woman after cesarean section." Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology, 2015, pp. 182-189. doi:10.5114/amsik.2015.58527.

Vancouver

Smędra A, Barzdo M, Krupińska J, Klemm J, Machała W, Szram S et al. Chylothorax as a rare complication of acute pancreatitis in a 25-year-old woman after cesarean section. Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology. 2015:182-189. doi:10.5114/amsik.2015.58527.

PlumX metrics:

The paper presents the case of a 25-year-old woman who underwent cesarean section for gynecological indications in the 37th week of her second pregnancy. The perioperative course was uncomplicated, but one day later the general condition of the patient suddenly deteriorated: she developed respiratory disorders requiring intubation and treatment in an intensive care unit. On the 6th day after the surgery, the patient was diagnosed with acute pancreatitis. Appropriate conservative treatment was instituted, resulting in a gradual improvement of her condition. On the 13th postoperative day, a cardiac arrest in asystole occurred, with no response to the undertaken resuscitation procedures. An autopsy performed in the Department of Forensic Medicine in Łódź revealed, among other findings, acute pancreatitis with enzymatic necrosis of the adipose tissue, a significant accumulation of lymph in both pleural cavities, and pulmonary atelectasis. As demonstrated by the analysis of the case, chylothorax had most probably developed in the course of acute pancreatitis which was a complication of the cesarean section. Consequently, the prosecutor opened an investigation into the case under Article 155 of the Polish Penal Code to assess the appropriateness of medical management. The medico-legal opinion was issued by experts from outside the Department of Forensic Medicine in Łódź. In their view, the medical management of the patient was correct.

keywords:

Chylothorax as a rare complication of acute pancreatitis in a 25-year-old woman after cesarean section

Anna Smędra , Maciej Barzdo , Justyna Krupińska , Joanna Klemm , Waldemar Machała , Stefan Szram , Jarosław Berent

chylothorax, cesarean section, acute pancreatitis, complication, appropriateness of medical management

Anna Smędra

,

Maciej Barzdo

,

Justyna Krupińska

,

Joanna Klemm

,

Waldemar Machała

,

Stefan Szram

,

Jarosław Berent