Symptoms of pancreatitis in children

summary

What does the symptom of infantile pancreatitis have? There are two types of acute pancreatitis and chronic pancreatitis in children. Two different types of pancreatitis have different symptoms and even different examination methods. If you want to know the symptoms of pancreatitis in children, please take a look at the article prepared by me!

Symptoms of pancreatitis in children

1. Edema: all or part of the pancreas edema, congestion, volume increase, pancreatic juice discharge blocked, so that the blood and urine amylase increased. The main symptom was epigastric pain, which was persistent and often accompanied by nausea and vomiting. Vomitus was food and secretion of stomach and duodenum. Abdominal distension was found in severe cases, and epigastric tenderness (to the left or right of the umbilicus) was the only sign of the abdomen.

2. Hemorrhage and necrosis: the systemic symptoms were severe, and the patients began to be restless, followed by hypotension, shock, dyspnea, oliguria or anuria, severe abdominal pain, inconsistent with abdominal pain signs, periumbilical and supraumbilical tenderness and peritoneal irritation. The umbilicus or waist skin of individual children is cyan purple, which is caused by subcutaneous fat decomposed by spilled pancreatic juice and capillary hemorrhage.

3. Diabetes: abnormal glucose metabolism is due to impaired release of insulin and glucagon, which sometimes occurs early in the disease. Diabetes mellitus is the most common clinical manifestation of tropical pancreatitis in adolescents. It can also be seen in calcified pancreatitis and alcoholic pancreatitis. Insulin secretion decreased due to islet cell injury, and circulation disorder caused by fibrosis around islets, which reduced the release of insulin into the blood.

matters needing attention

Chronic pancreatitis with ascites in children is rare, especially with pleural effusion. Some can escape into the blood due to pancreatin into the subcutaneous, resulting in subcutaneous fat tissue necrosis, the formation of erythema and nodules. Some children may have abdominal mass, which may be inflammatory mass of pancreas, or pseudocyst or benign or malignant tumor of pancreas.