Inflammation aiguë du pancréas dont le degré varie d’un oedème léger à une nécrose
hémorragique grave.
Physiopathologie
Auto-digestion du pancréas. Une altération des cellules pancréatiques ou l’activation
des enymes pancréatiques dans le pancréas plutôt que dans l’intestin.
Étiologie
Au Canada, la principale cause est la lithiase biliaire (plus fréquent chez la femme).
L’alcoolisme (plus fréquent chez les hommes). L’hyperglycéridémie est aussi une cause.
Facteurs de risque
Sédentarité
Obésité
ROH
Maladie des voies biliaires
Manifestations cliniques
Subjectives
DLR abdominale et QSG augmentant en position couché et irradiant dans le dos
NOVO
Objectives
Leucocytose
Hypotension
Tachycardie
Ictère
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