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- Title
Concomitant fungal peritonitis and high ascitic amylase as a rare manifestation of gastric perforation.
- Authors
Alasadi, Lugien; Alsuliman, Tamim; Alkabbani, Nawara; Mulhem, Siba; Jomaa, Anas; Wassouf, Ahmad
- Abstract
High ascitic amylase concentration has been reported to be a characteristic of pancreatic ascites. However, values greater than 2000 U/l can also be seen in intestinal perforation. Fungal peritonitis is a serious entity that could also be caused by hollow viscous perforation. Herein we report a 22-year-old woman with epigastric pain, imitating an acute pancreatitis, and abdominal distention. Laboratory and radiological investigations revealed a high ascitic Amylase level with secondary fungal peritonitis due to gastric ulcer perforation. This case highlights the importance of careful clinical evaluation and a multi-disciplines approach in patients with high ascitic Amylase levels especially in limited-resources areas in order not to miss a diagnosis in which a surgical approach can be lifesaving. To the best of our knowledge, this is the first reported case of concomitant very high ascetic Amylase level and fungal peritonitis as a manifestation of gastric perforation.
- Publication
Oxford Medical Case Reports, 2019, Vol 2019, Issue 3, pN.PAG
- ISSN
2053-8855
- Publication type
Article
- DOI
10.1093/omcr/omz022