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Seeing a cause for blindness in severe pancreatitis
  1. A D Hopper1,
  2. D Gosling2,
  3. S Patwary2,
  4. D Partridge3,
  5. M Peterson4
  1. 1Department of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK
  2. 2Department of Ophthalmology, Sheffield Teaching Hospitals, Sheffield, UK
  3. 3Department of Microbiology, Sheffield Teaching Hospitals, Sheffield, UK
  4. 4Department of Surgery, Sheffield Teaching Hospitals, Sheffield, UK
  1. Correspondence to Dr Andrew D Hopper, Room J19, J Floor Department of Gastroenterology, Royal Hallamshire Hospital, Glossop Road, Sheffield S102JF, UK; andrew.hopper{at}sth.nhs.uk

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During a holiday on a Mediterranean island, a 63-year old woman suffered a severe attack of pancreatitis secondary to gallstones. During the hospital stay, no sepsis was noted, but she was treated with prophylactic intravenous antibiotics, intravenous fluid and analgesia intensive care support was not required. After 22 days in hospital, she travelled back to the UK and presented to our department on advice to seek further help regarding ongoing symptoms of nausea and reduced appetite. A CT scan performed on admission demonstrated a developing 13×4.5 cm acute pancreatic collection with fat necrosis, splenic vein occlusion and gastric compression. Treatment with analgesia, venous thrombosis prophylaxis and nasojejenual feeding was commenced pending …

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