Purtcher Like Retinopathy Complicating Acute Pancreatitis: Rare Case
Mounir Bouali
Department of Visceral Surgical Emergencies, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Othmane El Yamine *
Department of General Surgery, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Meriem Essakhi
Department of Ophtalmology, Hospital 20 Aout 1953, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Issam Hamrerras
Department of General Surgery, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Abdelillah E. l. Bakouri
Department of Visceral Surgical Emergencies, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Fatimazahra Bensardi
Department of Visceral Surgical Emergencies, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Khalid E. l. Hattabi
Department of Visceral Surgical Emergencies, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Abdelaziz Fadil
Department of Visceral Surgical Emergencies, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Acute pancreatitis is an inflammatory process in the pancreas that can affect other distant organs. Ophthalmologic involvement in particular Ischemic retinopathy known as "Purtscher" during acute pancreatitis has been exceptionally associated, Purtscher retinopathy is a retinal vasculopathy most commonly caused by head or chesttrauma. The most frequent signs include white ischemic infarcts (cotton-wool spots) and retinal hemorrhages (intraretinal, preretinal, or flame). The signs of ischemic vasculopathy predominate in the interpapillomacular zone. Pathophysiology is not yet fully understood and no treatment has proven effective to date. We report a case of a 48-year-old woman with sudden bilateral loss of vision caused by Purtscher retinopathy in acute pancreatitis.
Keywords: Acute pancreatitis, purtscherlike retinopathy, rare complication.