ACUTE PANCREATITIS AND CHOLELITHIASIS IN A TWO-YEAROLD GIRL (IN SPANISH)

Introduction: it is important to make the physicians and pediatricians aware of the necessity of considering the possibility of acute pancreatitis in children who present abdominal pain. Case report: a two-year-old patient with symptoms of one day of evolution characterized by abdominal pain, vomiting and unquantified fever, with history of birth hospitalization because of neonatal sepsis and necrotizing enterocolitis treated with enteral nutrition and peritoneal dialysis due to have presented acute renal failure. At physical examination she was found stable, with pain, without dyspnea, with pain to the deep palpation in epigastrium and right hypochondrium without peritoneal irritation. The hemogram, ionogram and the renal proofs were normal. Elevated values of serum amylase were found. The diagnosis of acute pancreatitis was done and hydroelectrolytic management was initiated. The abdominal ultrasound and the abdominal computer tomography (CT) scan reported presence of calculi in the neck of the gallbladder without dilation of the tracts and discreet increase of the pancreas. The patient progressed in a favorable way with the medical management and she did not present complications. Conclusion: acute pancreatitis in children is a disease that has increased in frequency in the last years. The presence of two of three defined criteria allows to establish the diagnosis. Rev.cienc.biomed. 2014;5(2):341-344. KEYWORDS Cholelithiasis, Pancreatitis, Abdominal pain, Child, Pediatrics.