The dermal anchor - an evolving trend

Andrew Atkinson MD Resident Physician Romeo Lucas DO Resident Physician Charles Hux MD Perinatologist, Jersey Shore University Medical Center, New Jersey, USA A 22-year-old, morbidly obese Caucasian female, who was 38 weeks pregnant, presented to the emergency room with complaints of sudden onset of diffuse abdominal pain accompanied by nausea and vomiting. This was the patient’s first pregnancy and her prenatal course had been uncomplicated thus far. The patient denied any medical or surgical history, she was given intravenous hydration and labs were drawn. When the labs returned, the diagnosis of acute pancreatitis was made, as evidenced by an amylase of 2,188 u/l and a lipase of 3,154 u/l with all other labs within normal limits. At that point, the patient was sent to have a right upper quadrant ultrasound to rule out gallstone pancreatitis.