Recurrent Acute Pancreatitis: Dangerous Etiology?
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https://doi.org/10.17140/POJ-2-108Keywords:
Surprisingly, for several months significant changes in the main pancreatic duct and the pancreatic parenchyma were not observedAbstract
Acute pancreatitis (AP) is a disorder clinically characterized by upper abdominal pain and elevated levels of pancreatic enzymes in the blood.1 After an initial evaluation, up to 10-30% of patients with AP are diagnosed with idiopathic acute pancre-atitis.2 Clinical history and conventional diagnostic tests such as blood chemistry, ultrasound (US), computed tomography (CT) scan, magnetic resonance cholangio-pancreatography (MRCP) and endoscopic ultrasonography (EUS) usually discover most causes of the recurrent acute pancreatitis (RAP). Occasionally, the first presentation, in adult patients, with pancreatic cancer (PC) is with RAP.3 We should bear this in mind.
References
Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis — 2012: Revision of the Atlanta classification and de-finitions by international consensus. Gut. 2013; 62: 102-111. doi: 10.1136/gutjnl-2012-302779
Draganov P, Forsmark E. Idiopathic pancreatitis. Gastroenterology. 2005; 128: 756-763. doi: 10.1053/j.gastro.2005.01.037
Forsmark ChE, Vege SS, Wilcox CM. Acute Pancreatitis. N Engl J Med. 2017; 376(6): 598-599. doi: 10.1056/NEJMc1616177
Minato Y, Kamisawa T, Tabata T, et al. Pancreatic cancer cau-sing acute pancreatitis: A comparative study with cancer patients without pancreatitis and pancreatitis patients without cancer. J He-patobiliary Pancreat Sci. 2013; 20(6): 628-633. doi: 10.1007/s00534- 013-0598-y Case Report | Volume 2 | Number 1| Pancreas Open J. 2017; 2(1): 1-3. doi: 10.17140/POJ-2-108
Lin A, Feller ER. Pancreatic carcinoma as a cause of unexplained pancreatitis: Report of ten cases. Ann Intern Med. 1990; 113: 166- 167. doi: 10.7326/0003-4819-113-2-166
Mujica VR, Barkin JS, Go VL. Acute pancreatitis secondary to pancreatic carcinoma. Study group participants. Pancreas. 2000; 21: 329-332.
Tsai MJ, Liao KS, Shih PMC, et al. Relapsed acute pancreatitis as the initial presentation of pancreatic cancer in young man. Kaohsiung J Med Sci. 2010; 26: 448-454. doi: 10.1016/S1607-551X(10)70072-3
Wilson C, Imrie CW. Occult pancreatic cancer with recurrent acute pancreatitis. Postgrad Med J. 1986; 62: 765-767.
Munigala S, Kanwal F, Xian H, et al. Increased risk of pancreatic adenocarcinoma after acute pancreatitis. Clin Gastroenterol Hepatol. 2014; 12(7): 1143-1150.e1. doi: 10.1016/j.cgh.2013.12.033 Submit your article to this journal | https://openventio.org/submit-manuscript/ Case Report | Volume 2 | Number 1| Espinel Diez J, et al
Zhang W, Shan HC, Gu Y. Recurrent acute pancreatitis and its relative factors. World J Gastroenterol. 2005; 11(19): 3002-3004. doi: 10.7869/tg.116
Kimura Y, Kikuyama M, Kodama Y. Acute pancreatitis as a possible indicator of pancreatic cancer: The importance of mass detection. Intern Med. 2015; 54: 2109-2114. doi: 10.2169/internal-medicine.54.4068
Testoni PA. Aetiologies of recurrent acute pancreatitis: Acute or chronic relapsing disease? JOP. 2001; 2(6): 357-367.
Rijkers AP, van Eijck CH. Acute pancreatitis. N Engl J Med. 2017; 376(6): 596-597. doi: 10.1056/NEJMc1616177
Bank S, Indaram A. Causes of acute and recurrent pancreatitis. Gastroenterol Clin North Am. 1999; 28: 571-589.
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