Do not ignore Walzel’s sign with Acut Severe Pancreatititis: A Mortal Chain of Complications with Multiple Organ Dysfunction Syndrome and Disseminated Intravascular Coagulation

Authors : Serpil Bayındır, Alev Coşkun, Muhammed Başpınar, Fatma Karabulut

Pages : 157-160

Doi:10.33706/jemcr.1673792

View : 35 | Download : 172

Publication Date : 2025-12-31

Article Type : Other Papers

Abstract :Introduction: This case report describes a patient with severe acute pancreatitis (AP) who presented with livedo reticularis (Walzel\\\'s sign), a rare cutaneous finding. Case report: A 51-year-old woman presented to the emergency department with reticular skin lesions starting from the lower extremities and spreading throughout the body. Laboratory and radiologic investigations showed that she developed severe AP, multiple organ failure and disseminated intravascular coagulation. The patient\\\'s clinical course deteriorated rapidly and he died in cardiac arrest within approximately 10 hours. Conclusion: This case is presented to contribute to the literature and to point out that Walzel\\\'s sign characterized by livedo reticularis, a rare skin finding in severe AP, may be a clinical sign that may lead to early diagnosis. It is envisioned that early diagnosis in patients with severe AP with aggressive course may have a favorable effect on the clinical course and prognosis.
Keywords : Akut pankreatit, Livedo retikülaris, Walzel belirtisi, Akut böbrek yetmezliği, Dissemine intravasküler koagülasyon.

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