arthralgia and osteolytic lesions associated with traumatic pancreatitis in a 10-year-old girl关节痛和溶骨的病变与创伤性胰腺炎在一个10岁的女孩.pdfVIP

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arthralgia and osteolytic lesions associated with traumatic pancreatitis in a 10-year-old girl关节痛和溶骨的病变与创伤性胰腺炎在一个10岁的女孩.pdf

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arthralgia and osteolytic lesions associated with traumatic pancreatitis in a 10-year-old girl关节痛和溶骨的病变与创伤性胰腺炎在一个10岁的女孩

Hindawi Publishing Corporation International Journal of Pediatrics Volume 2009, Article ID 950687, 3 pages doi:10.1155/2009/950687 Case Report Arthralgia and Osteolytic Lesions Associated with Traumatic Pancreatitis in a 10-Year-Old Girl Masayuki Obatake, Yusuke Yamane, Takayuki Tokunaga, Yasuaki Taura, Yukio Inamura, and Takeshi Nagayasu Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852 8501, Japan Correspondence should be addressed to Masayuki Obatake, mobatake@nagasaki-u.ac.jp Received 28 October 2008; Accepted 3 February 2009 Recommended by Deepak Kamat A case of traumatic pancreatitis with subsequent joint pain and osteolytic lesions is presented. A 10-year-old girl was admitted to our hospital with abdominal pain caused by blunt epigastric injury. She was diagnosed with traumatic pancreatitis, and multiple pancreatic pseudocysts subsequently developed. Two weeks after admission, she complained of joint pain, and MR revealed osteolytic lesions of both knee joints. On the 58th day, endoscopic transgastric pseudocyst drainage was performed. Joint pain and osteolytic lesions resolved rapidly, in parallel with the decrease in serum amylase level and pseudocyst size. Copyright © 2009 Masayuki Obatake et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 1. Introduction and managed conservatively with nasogastric decompression and bowel rest. Gabexate mesilate and antibiotics were Abdom