Pancreatic necrosis is a pathology that cannot be diagnosed based on clinical signs alone. They are non-specific, that is, they are characteristic not only of the destructive form of acute pancreatitis, but also of a number of other diseases. Therefore, laboratory symptoms and instrumental research data are of great importance in determining pancreatonecrosis. They distinguish pancreatic necrosis from other acute surgical pathologies.
The disease begins abruptly. Usually, the condition worsens with alcohol and overeating. Symptoms increase rapidly over several hours. As a rule, already on the first day, the patient is hospitalized in the hospital of the surgical department. Moreover, two out of three patients are hospitalized in a state of alcoholic intoxication. Usually the patient complains of the following symptoms: abdominal pain, which radiates to the back and does not have a clear localization; nausea, vomiting that does not bring relief; dry mouth, thirst, decreased frequency of urination - signs of dehydration, resulting from vomiting; bloating; stool retention; increased body temperature. When examining a patient, the doctor can detect the following clinical signs of pancreatic necrosis: tension of the muscles of the anterior abdominal wall; bruising on the side of the abdomen or near the navel; bile or blood in vomit; pale skin; heart palpitations, rapid breathing - signs of body intoxication; lowering blood pressure; yellowness of the skin and sclera; purple spots on the face; brown color of the skin in the right hypochondrium; confusion is a consequence of intoxication or a sharp increase in blood glucose levels.
Abdominal pain that radiates to the back and does not have a clear localization; nausea, vomiting that does not bring relief; dry mouth, thirst, decreased frequency of urination - signs of dehydration, resulting from vomiting; bloating; stool retention; increased body temperature.