You are here

Article Text

Article menu
Download PDFPDF
Endoscopy
Inside view
Unique cause of acute pancreatitis
  1. Rory James McCluskey1,
  2. Jessie Elliott1,
  3. Jan Leyden2,
  4. John Conneely1,
  5. Gerry McEntee1,
  6. Suzanne O'Mahony1,
  7. Niall McInerney1
  1. 1 Hepatobiliary Surgery, Mater Misericordiae University Hospital, Dublin, Ireland
  2. 2 Gastrointestinal Unit, Mater Misericordiae University Hospital, Dublin, Ireland
  1. Correspondence to Dr Rory James McCluskey; rory130996{at}gmail.com

https://doi.org/10.1136/flgastro-2024-102673

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Clinical presentation

    A previously well 43-year-old men was admitted with right upper quadrant and epigastric pain, fever and vomiting. His medical history included asymptomatic cholestatic liver function tests for which serial ultrasound (US), magnetic resonance cholangiopancreatography, fibroscan and a US-guided liver biopsy had proved unremarkable several years prior to this presentation.

    Physical examination revealed diffuse abdominal tenderness worst in the right upper quadrant and epigastric region. Laboratory investigations demonstrated raised inflammatory markers and deranged liver function but were otherwise unremarkable. CT of the abdomen and pelvis showed extensive pancreatic stranding and fluid most prominent around the tail and body of the pancreas. The patient had no history of gallstones, alcohol misuse, new medications, family history or hypercholesterolemia.

    The patient was managed conservatively but subsequently deteriorated with features of abdominal sepsis.

    Serial …

    View Full Text

    Footnotes

    • Contributors RJM, JE and JL wrote the original manuscript. All authors were involved in the patient’s clinical care. All authors have reviewed and approved the final draft submitted for publication.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.