Acute pancreatitis and relative polycythaemia: a case series

Authors

  • Shraddha Modi Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India http://orcid.org/0000-0003-2181-0646
  • Boopathi Subbarayan Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India
  • Saravanakumar Subbaraj Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India
  • Tirouaroul Tirougnanassmbandamourty Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India
  • S. Robinson Smile Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

DOI:

https://doi.org/10.18203/2349-2902.isj20203795

Keywords:

Acute necrotizing pancreatitis, Relative polycythaemia, Haem concentration

Abstract

Relative polycythaemia is an apparent rise in erythrocyte level in the blood. However, the underlying cause is reduced blood plasma. Relative polycythaemia is often caused by loss of body fluids seen in conditions such as burns, dehydration and stress manifesting itself as a raised Haemoglobin or haematocrit. This case series presents a clinical summary of three patients with acute pancreatitis (AP) and relative polycythaemia due to reduction in plasma volume as a result of intravascular volume depletion as demonstrated by increase in haemoglobin and haematocrit.  Haem concentration may be considered as a marker for acute severe pancreatitis and correcting the volume depletion by adequate fluid improves the outcome of AP as seen in all our three patients.

Author Biographies

Shraddha Modi, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Department of General Surgery

Post graduate Resident

Boopathi Subbarayan, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Assitant Professor
Department of General Surgery

Saravanakumar Subbaraj, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Associate Professor

Department of General Surgery

Tirouaroul Tirougnanassmbandamourty, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Professor

Department of General Surgery

S. Robinson Smile, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Emeritus Professor 

Department of General Surgery

References

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Published

2020-08-27

Issue

Section

Case Series