Korean J Pancreas Biliary Tract.  2018 Jul;23(3):122-126. 10.15279/kpba.2018.23.3.122.

Acute Pancreatitis with Purtscher's-like Retinopathy

Affiliations
  • 1Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. jeromee1971@yahoo.co.kr

Abstract

A 28-year-old man with a history of alcohol abuse was diagnosed with acute pancreatitis based on clinical symptoms, laboratory findings and computed tomography findings. On the second day of hospitalization, he complained of sudden visual disturbance. The ophthalmologic examination showed Purtscher's-like retinopathy. Two weeks after initial presentation, his vision was significantly improved along with epigastric pain. Retinal arteriolar occlusion by complement-mediated leukoembolization is the proposed pathogenic mechanism of Purtscher's-like retinopathy. Increased activity of proteases such as trypsin, associated with acute pancreatitis might be linked with the production of complement C5a. We report a rare case of Purtscher's-like retinopathy associated with acute pancreatitis.

Keyword

Acute pancreatitis; Purtscher's retinopathy; Purtscher's-like retinopathy; Sudden blindness
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