A 43-year-old woman with a history of gallstones presents with severe epigastric pain radiating to the back, nausea, and vomiting for 6 hours. Vital signs show BP 128/82 mmHg, HR 102/min, RR 20/min, temperature 38.2°C, SpO2 98% on room air. Serum lipase is 1,240 U/L (normal <200). CT abdomen shows pancreatic edema without necrosis. She denies fever or recent alcohol use. Which finding is most likely to develop if severe complications occur?
- A)Periumbilical ecchymosisGABARITO
- B)Pruritic vesicles on extensor surfaces
- C)Rebound tenderness localized to McBurney point
- D)Auscultatory abdominal bruit that worsens after meals
- E)Painless jaundice with palpable gallbladder
Explicação
Severe acute pancreatitis can cause hemorrhagic tracking into subcutaneous tissues, producing Cullen sign around the umbilicus or Grey Turner sign at the flanks. Gallstones are a classic precipitant of acute pancreatitis in middle aged women. Ver explicação completa e trilha adaptativa →