Acute Pancreatitis Secondary to Pancreatic Torsion due to Diaphragmatic Eventration

Acute Pancreatitis Secondary to Pancreatic Torsion due to Diaphragmatic Eventration | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Case Report Acute Pancreatitis Secondary to Pancreatic Torsion due to Diaphragmatic Eventration naima mustafa abdi, Shaza Karrar, Scott barr This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7583872/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Acute pancreatitis because of pancreatic torsion is a rare presentation, with very few documented data found on human subjects, with the majority of published case reports being in dogs [7] . In this paper we will be discussing A 37-year-old female who presented to the emergency department with abdominal pain, on examination she exhibited tenderness and guarding in the epigastric and right upper quadrants, subsequent investigations revealed elevated lipase and left hemi-diaphragmatic elevation resulting in pancreatic body and tail torsion. The patient was admitted for acute pancreatitis management, and she underwent elective laparoscopic cholecystectomy as she was found to have cholelithiasis without cholecystitis. She was stable and symptom free upon discharge 4 days later. Figures Figure 1 Figure 2 CASE REPORT a pleasant 37-year-old female, with background history of diaphragmatic hernia repair in childhood and appendectomy 15 years ago. Presented to the ED complaining of epigastric and right upper quadrant abdominal pain that is progressive and worsening for the past 2 weeks, that radiates to the back and is associated with nausea. She denied any associated fever, diarrhea, constipation, back pain, shortness of breath. There are no other alleviating or aggravating factors. She also denies any active medications, any sick contacts or recent travel. Her alcohol intake status is unknown, and she denies any recent blunt abdominal trauma. She was recently admitted for 3 days in an outside hospital 2 weeks prior to this presentation with acute idiopathic pancreatitis, where she underwent a series of imaging during her hospital stay, including an abdominal ultrasound, abdominal MRI and MRCP, she was found to have gallbladder stones without cholecystitis and Adenomyomatosis of the gallbladder, MRCP noted no evidence of CBD stone or dilatation of the biliary duct, however MRI revealed an elevation of the left diaphragm with elevation of the left-sided abdominal organs including the stomach and the left kidney and it was concluded to be a probable left diaphragmatic paralysis/eventration. The patient deferred surgical intervention at the time. Physical examination during the current visit revealed a hemodynamically stable patient, reduced breath sounds were noted upon auscultating the middle and lower left fields, in addition to epigastric and right upper quadrant tenderness and guarding. Symptomatic treatment was initiated in the emergent department with IV normal saline, paracetamol and morphine. Laboratory investigations were significant for leukocytosis of 11.1x10^9/L, serum lipase of 3000U/L, mild hyperkalemia 5.2 mmol/L as well as moderately elevated liver enzymes, AST 273U/L ALT 139 U/L and ALP 153u/L. An abdominal CT scan was ordered, which showed Peripancreatic fat smudging surrounding the pancreatic head and neck denoting pancreatitis, in addition to significant elevation of the left diaphragmatic copula, the left diaphragmatic dome could not be visualized, as it was out of field, with elevated and twisted pancreatic tail and body(figure 2.), as well as elevated left-sided abdominal organs (figure 1.), left kidney, colon and small bowel. A small fat-containing umbilical hernia was also identified. After stabilizing the patient, the case was discussed with the general surgery team and the decision was made to admit her for further management. During her stay she underwent abdominal ultrasound which was significant for cholelithiasis with no sonographic evidence of cholecystitis and hyperplastic cholecystosis, suggestive of adenomyomatosis. An elective laparoscopic cholecystectomy with intraoperative cholangiogram was performed on the 3 rd day of admission, after the pancreatic inflammation was adequately controlled, the surgery was uncomplicated and mild cholecystitis was noted, no biliary tree abnormality was detected on the biliary cholangiography. the procedure was well tolerated by the patient. A second lipase level was not obtained prior to discharge however her liver enzymes were appropriately normalizing along with stable rest of parameters, and she was discharged the following day. DISCUSSION Acute pancreatitis is an acute inflammatory process of the pancreas with an overall mortality rate of approximately 2 percent, however, it can be as high as 30 percent in patients with persistent organ failure such as in severe acute pancreatitis [1] . The reported annual incidence of acute pancreatitis ranges from 4.9 to 35 per 100,000 population. The incidence of acute pancreatitis is increasing worldwide due to increased rates of obesity and gallstones [2] . Acute pancreatitis is multifactorial, with the most frequent risk factor being gallstones which accounts for up to 70% of all acute pancreatitis cases. This is followed by alcohol intake, which is approximately 35% of cases, other less common etiologies include hypertriglyceridemia, hypercalcemia, post endoscopic retrograde cholangio-pancreatography, certain medications and toxins and viruses, genetic factors and idiopathic cases were also described [2] . Pancreatitis following gastroscopy has also been described in one article [6] . In this case, the relationship between the diaphragmatic eventration found on abdominal imaging and the occurrence of pancreatitis because of pancreatic twisting suggests an etilogical relation between the two, despite the limited evidence in documented literature on human cases. Furthermore, the patient had low risk for pancreatitis, even with the presence of gallstones, there was no effect or obstruction in the common bile duct. However other factors like alcohol intake cannot be excluded as it was not disclosed by the patient, in addition to the alcoholic pattern of liver enzymes elevation. There were case reports published discussing acute pancreatitis secondary to splenic torsion [3][4][5] that was involving the tail of pancreas, in addition to 2 published reports of pancreatic volvulus [8][9] , as well as one published case report involving a 6 year-old child who developed acute pancreatitis due to splenic and pancreatic tail torsion following omphalocele repair [10] . However, to our knowledge this is the first reported case of such presentation and background. Unusual etiologies should be kept in mind when approaching patients with acute pancreatitis, especially in the emergency department, with special consideration to those with anatomical anomalies, and treatment should be tailored to the individual cases. Declarations consent statement: An informed verbal consent was obtained from the patient after discharge. the patient was made aware of this publication and the purpose of it. Acknowledgments None to declare. Financial Disclosure None to declare. Conflict of Interest None to declare. Informed Consent Informed consent was obtained from patient prior to completing case report. Author Contribution All authors whose names appear on the submission made substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data; or the creation of new software used in the work; drafted the work or revised it critically for important intellectual content.approved the version to be published; and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. References Vege SS, Forsmark CE, DiMagno MJ (2025) Management of acute pancreatitis. UpToDate . Updated. Accessed August 30, 2025. https://www.uptodate.com Muniraj T, Guda NM (2025) Etiology of acute pancreatitis. UpToDate . Updated. Accessed August 30, 2025. https://www.uptodate.com Safaya A, Piscina A, Con J (2022) Wandering spleen with splenic torsion and pancreatitis: spleen preserving management. Am Surg 88(6):1361–1363. 10.1177/0003134820945288 Shen MR, Barrett M, Waits S, Williams AM (2021) Wandering spleen leading to splenic torsion with gastric and pancreatic volvulus. BMJ Case Rep 14(1):e235918. 10.1136/bcr-2020-235918 Hosseini SA, Streit A, Uhlig U (2018) Splenic torsion with involvement of pancreas and descending colon in a 9-year-old boy. BJR Case Rep 5(1):20180051. 10.1259/bjrcr.20180051 Fadaee N, De Clercq S (2019) Gastroscopy-induced pancreatitis: a rare cause of post-procedure abdominal pain. J Med Cases 10(5):143–145. 10.14740/jmc3294 Brabson TL, Maki LC, Newell SM, Ralphs SC (2015) Pancreatic torsion in a dog. Can Vet J. ;56(5):476–478. PMID: 25969579. Available from: https://pubmed.ncbi.nlm.nih.gov/25969579/ Aswani Y, Anandpara KM, Hira P (2015) Wandering spleen with torsion causing pancreatic volvulus and associated intrathoracic gastric volvulus: an unusual triad and cause of acute abdominal pain. JOP 16(1):78–80. 10.6092/1590-8577/2905 Flores-Ríos E, Méndez-Díaz C, Rodríguez-García E, Pérez-Ramos T (2015) Wandering spleen, gastric and pancreatic volvulus and right-sided descending and sigmoid colon. J Radiol Case Rep 9(10):18–25. 10.3941/jrcr.v9i10.2475 Eamer GJ, Alfraih Y, Stein N, Bailey K Splenic and pancreatic torsion after giant omphalocele repair. J Pediatr Surg Case Rep Published online 2017. 10.1016/j.epsc.2017.08.002 Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7583872","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Case Report","associatedPublications":[],"authors":[{"id":516060410,"identity":"e5201b73-141a-4721-abac-8283c89d6889","order_by":0,"name":"naima mustafa 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1","display":"","copyAsset":false,"role":"figure","size":174266,"visible":true,"origin":"","legend":"\u003cp\u003eelevation of the stomach and left kidney on abdominal CT axial view\u003c/p\u003e","description":"","filename":"floatimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-7583872/v1/dd3ed9d703220f838e1e120c.png"},{"id":91960762,"identity":"00981f51-2fa8-4425-b4b3-534bd3b910d5","added_by":"auto","created_at":"2025-09-23 07:48:29","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":152166,"visible":true,"origin":"","legend":"\u003cp\u003epancreatic torsion on abdominal CT axial view\u003c/p\u003e","description":"","filename":"floatimage2.png","url":"https://assets-eu.researchsquare.com/files/rs-7583872/v1/7295d324e08b792e8ecf642c.png"},{"id":91964793,"identity":"82316e76-9caa-4a14-bfda-5aa987360e04","added_by":"auto","created_at":"2025-09-23 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shortness of breath. There are no other alleviating or aggravating factors. She also denies any active medications, any sick contacts or recent travel.\u003c/p\u003e\n\u003cp\u003eHer alcohol intake status is unknown, and she denies any recent blunt abdominal trauma.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eShe was recently admitted for 3 days in an outside hospital 2 weeks prior to this presentation with acute idiopathic pancreatitis, where she underwent a series of imaging during her hospital stay, \u0026nbsp;including an abdominal ultrasound, abdominal MRI and MRCP, she was found to have gallbladder stones without cholecystitis and Adenomyomatosis of the gallbladder, MRCP \u0026nbsp;noted no evidence of CBD stone or dilatation of the biliary duct, however MRI revealed an elevation of the left diaphragm with elevation of the left-sided abdominal organs including the stomach and the left kidney and it was concluded to be a probable left diaphragmatic paralysis/eventration. The patient deferred surgical intervention at the time.\u003c/p\u003e\n\u003cp\u003ePhysical examination during the current visit revealed a hemodynamically stable patient, reduced breath sounds were noted upon auscultating the middle and lower left fields, in addition to epigastric and right upper quadrant tenderness and guarding.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eSymptomatic treatment was initiated in the emergent department with IV normal saline, paracetamol and morphine.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eLaboratory investigations were significant for leukocytosis of 11.1x10^9/L, serum lipase of 3000U/L, mild hyperkalemia 5.2 mmol/L as well as moderately elevated liver enzymes, AST 273U/L ALT 139 U/L and ALP 153u/L.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAn abdominal CT scan was ordered, which showed Peripancreatic fat smudging surrounding the pancreatic head and neck denoting pancreatitis, in\u0026nbsp;addition to significant elevation of the left diaphragmatic copula, the left diaphragmatic dome could not be visualized, as it was out of field, with elevated and twisted pancreatic tail and body(figure 2.), as well as elevated left-sided abdominal organs (figure 1.), left kidney, colon and small bowel. A small fat-containing umbilical hernia was also identified.\u003c/p\u003e\n\u003cp\u003eAfter stabilizing the patient, the case was discussed with the general surgery team and the decision was made to admit her for further management. \u0026nbsp;\u003c/p\u003e\n\u003cp\u003eDuring her stay she underwent abdominal ultrasound which was significant for cholelithiasis with no sonographic evidence of cholecystitis and hyperplastic cholecystosis, suggestive of adenomyomatosis.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAn elective laparoscopic cholecystectomy with intraoperative cholangiogram was performed on the 3\u003csup\u003erd\u003c/sup\u003e day of admission, after the pancreatic inflammation was adequately controlled, the surgery was uncomplicated and mild cholecystitis was noted, no biliary tree abnormality was detected on the biliary cholangiography. the procedure was well tolerated by the patient. A second lipase level was not obtained prior to discharge however her liver enzymes were appropriately normalizing along with stable rest of parameters, and she was discharged the following day.\u0026nbsp;\u003c/p\u003e"},{"header":"DISCUSSION","content":"\u003cp\u003eAcute pancreatitis is an acute inflammatory process of the pancreas with an overall mortality rate of approximately 2 percent, however, it can be as high as 30 percent in patients with persistent organ failure such as in severe acute pancreatitis \u003csup\u003e[1]\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eThe reported annual incidence of acute pancreatitis ranges from 4.9 to 35 per 100,000 population. The incidence of acute pancreatitis is increasing worldwide due to increased rates of obesity and gallstones \u003csup\u003e[2]\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eAcute pancreatitis is multifactorial, with the most frequent risk factor being gallstones which accounts for up to 70% of all acute pancreatitis cases. This is followed by alcohol intake, which is approximately 35% of cases, other less common etiologies include hypertriglyceridemia, hypercalcemia, post endoscopic retrograde cholangio-pancreatography, certain medications and toxins and viruses, genetic factors and idiopathic cases were also described \u003csup\u003e[2]\u003c/sup\u003e. Pancreatitis following gastroscopy has also been described in one article\u003csup\u003e\u0026nbsp;[6]\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eIn this case, the relationship between the diaphragmatic eventration found on abdominal imaging and the occurrence of pancreatitis because of pancreatic twisting suggests an etilogical relation between the two, despite the limited evidence in documented literature on human cases.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eFurthermore, the patient had low risk for pancreatitis, even with the presence of gallstones, there was no effect or obstruction in the common bile duct. However other factors like alcohol intake cannot be excluded as it was not disclosed by the patient, in addition to the alcoholic pattern of liver enzymes elevation.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThere were case reports published discussing acute pancreatitis secondary to splenic torsion \u003csup\u003e[3][4][5]\u003c/sup\u003e that was involving the tail of pancreas, in addition to 2 published reports of pancreatic volvulus \u003csup\u003e[8][9]\u003c/sup\u003e, as well as one published case report involving a 6 year-old child who developed acute pancreatitis due to splenic and pancreatic tail torsion following omphalocele repair\u003csup\u003e[10]\u003c/sup\u003e. However, to our knowledge this is the first reported case of such presentation and background.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eUnusual etiologies should be kept in mind when approaching patients with acute pancreatitis, especially in the emergency department, with special consideration to those with anatomical anomalies, and treatment should be tailored to the individual cases.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003econsent statement:\u003c/strong\u003e An informed verbal consent was obtained from the patient after discharge. the patient was made aware of this publication and the purpose of it.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eAcknowledgments\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eNone to declare.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eFinancial Disclosure\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eNone to declare.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eConflict of Interest\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eNone to declare.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eInformed Consent\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eInformed consent was obtained from patient prior to completing case report.\u003c/p\u003e\n\u003ch2\u003eAuthor Contribution\u003c/h2\u003e\u003cp\u003eAll authors whose names appear on the submission made substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data; or the creation of new software used in the work; drafted the work or revised it critically for important intellectual content.approved the version to be published; and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eVege SS, Forsmark CE, DiMagno MJ (2025) Management of acute pancreatitis. \u003cem\u003eUpToDate\u003c/em\u003e. Updated. Accessed August 30, 2025. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://www.uptodate.com\u003c/span\u003e\u003cspan address=\"https://www.uptodate.com\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e\u003cli\u003e\u003cspan\u003eMuniraj T, Guda NM (2025) Etiology of acute pancreatitis. \u003cem\u003eUpToDate\u003c/em\u003e. Updated. Accessed August 30, 2025. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://www.uptodate.com\u003c/span\u003e\u003cspan address=\"https://www.uptodate.com\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e\u003cli\u003e\u003cspan\u003eSafaya A, Piscina A, Con J (2022) Wandering spleen with splenic torsion and pancreatitis: spleen preserving management. 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J Pediatr Surg Case Rep Published online 2017. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1016/j.epsc.2017.08.002\u003c/span\u003e\u003cspan address=\"10.1016/j.epsc.2017.08.002\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"","lastPublishedDoi":"10.21203/rs.3.rs-7583872/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7583872/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eAcute pancreatitis because of pancreatic torsion is a rare presentation, with very few documented data found on human subjects, with the majority of published case reports being in dogs \u003csup\u003e[7]\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eIn this paper we will be discussing A 37-year-old female who presented to the emergency department with abdominal pain, on examination she exhibited tenderness and guarding in the epigastric and right upper quadrants, subsequent investigations revealed elevated lipase and left hemi-diaphragmatic elevation resulting in pancreatic body and tail torsion. The patient was admitted for acute pancreatitis management, and she underwent elective laparoscopic cholecystectomy as she was found to have cholelithiasis without cholecystitis. She was stable and symptom free upon discharge 4 days later.\u003c/p\u003e","manuscriptTitle":"Acute Pancreatitis Secondary to Pancreatic Torsion due to Diaphragmatic Eventration","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-09-23 07:48:24","doi":"10.21203/rs.3.rs-7583872/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"4179e675-85ef-4ddc-ad41-eef9c5a47a07","owner":[],"postedDate":"September 23rd, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-09-23T07:48:26+00:00","versionOfRecord":[],"versionCreatedAt":"2025-09-23 07:48:24","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-7583872","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-7583872","identity":"rs-7583872","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}