Case Report
Year 2022,
Volume: 4 Issue: 1, 45 - 48, 29.01.2022
Abstract
References
- Fu CY, Yeh CN, Hsu JT, Jan YY, Hwang TL. Timing of mortality in severe acute pancreatitis: experience from 643 patients. World J Gastroenterol. 2007 Apr 7;13(13):1966-9. doi: 10.3748/wjg.v13.i13.1966.
- Zheng J, Yang QJ, Dang FT, Yang J. Drug-induced pancreatitis: An update. Arab J Gastroenterol. 2019 Dec;20(4):183-188. doi: 10.1016/j.ajg.2019.11.005.
- Robinson AS. Acute pancreatitis following translumbar aortography; case report with autopsy findings seven weeks following aortogram. AMA Arch Surg. 1956 Feb;72(2):290-4.
- Chin WS, Ng R. Acute fulminant pancreatitis following ventriculography. Cardiovasc Intervent Radiol. 1981;4(2):108-9. doi: 10.1007/BF02552388.
- Kheda MF, Szerlip HM. Two cases of iodixanol-induced pancreatitis. NDT Plus. 2008 Oct;1(5):296-9. doi: 10.1093/ ndtplus/sfn063.
- Gorges R, Ghalayini W, Zughaib M. A case of contrast induced pancreatitis following cardiac catheterization. J Invasive Cardiol. 2013 Oct;25(10):E203-4.
- Farooq AU, Amjad W, Yasin H. Rare Complication of Coronary Angiography: Contrast-Induced Acute Pancreatitis. Am J Ther. Nov/Dec 2017;24(6):e771-e772. doi: 10.1097/MJT.0000000000000626.
- Mui JJ, Shamavonian R, Thien KCP. Acute pancreatitis following coronary angiography: case report and review of contrast-induced pancreatitis. Int Surg J. 2020 Feb;7(3):870-2. doi: 10.18203/2349-2902.isj20200836.
- Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, Tsiotos GG, Vege SS; Acute Pancreatitis Classification Working Group. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013 Jan;62(1):102-11. doi: 10.1136/gutjnl-2012-302779.
- Schmidt J, Hotz HG, Foitzik T, Ryschich E, Buhr HJ, Warshaw AL, Herfarth C, Klar E. Intravenous contrast medium aggravates the impairment of pancreatic microcirculation in necrotizing pancreatitis in the rat. Ann Surg. 1995 Mar;221(3):257-64. doi: 10.1097/00000658-199503000-00007.
- Plock JA, Schmidt J, Anderson SE, Sarr MG, Roggo A. Contrast-enhanced computed tomography in acute pancreatitis: does contrast medium worsen its course due to impaired microcirculation? Langenbecks Arch Surg. 2005 Apr;390(2):156-63. doi: 10.1007/s00423-005-0542-y.
- Jin S, Orabi AI, Le T, Javed TA, Sah S, Eisses JF, Bottino R, Molkentin JD, Husain SZ. Exposure to Radiocontrast Agents Induces Pancreatic Inflammation by Activation of Nuclear Factor-κB, Calcium Signaling, and Calcineurin. Gastroenterology. 2015 Sep;149(3):753-64.e11. doi: 10.1053/j.gastro.2015.05.004.
- Yoshiwaza Y, Ogasa S, Izaki S, Kitamura K. Corticosteroidinduced pancreatitis in patients with autoimmune bullous disease: case report and prospective study. Dermatology. 1999;198(3):304-6. doi: 10.1159/000018137.
- Salvador VB, Singh M, Witek P, Peress G. Cyclophosphamide and doxorubicin-induced acute pancreatitis in a patient with breast cancer. BJMP. 2014;7(3):a727.
Year 2022,
Volume: 4 Issue: 1, 45 - 48, 29.01.2022
Abstract
Introduction:
Acute pancreatitis is a common cause of hospitalization among gastrointestinal disorders and its frequency has been rising in the past few years. The majority of cases are due to alcohol use, gallstones and hypertriglyceridemia. However, there still remain a significant number of cases in which no causative factor can be found and therefore called idiopathic. Contrast-induced pancreatitis is a rare cause pancreatitis and there are only a few cases reported so far. Here we present a case of mild acute pancreatitis following iodinated contrast exposure.
Case Presentation:
A 42-year-old female patient with a history of lymphoma was admitted to our clinic with severe abdominal pain and nausea. Her blood tests revealed elevated pancreatic enzyme levels and mildly elevated liver function tests. Upper abdomen magnetic resonance imaging revealed pancreatic inflammation without any sign of necrosis. Since her complaints began after a computed-tomography scan that she had earlier that day for the evaluation of lymphoma and no other cause could be found, iodinated contrast was thought to be the cause of acute pancreatitis in this patient.
Conclusion:
Contrast agents seem to be a rare cause of acute pancreatitis, however taking the increasing availability of procedures involving radiocontrast agents into consideration, it is important to keep in mind that clinicians may come across more cases of contrast-induced acute pancreatitis in the future.
Keywords
References
- Fu CY, Yeh CN, Hsu JT, Jan YY, Hwang TL. Timing of mortality in severe acute pancreatitis: experience from 643 patients. World J Gastroenterol. 2007 Apr 7;13(13):1966-9. doi: 10.3748/wjg.v13.i13.1966.
- Zheng J, Yang QJ, Dang FT, Yang J. Drug-induced pancreatitis: An update. Arab J Gastroenterol. 2019 Dec;20(4):183-188. doi: 10.1016/j.ajg.2019.11.005.
- Robinson AS. Acute pancreatitis following translumbar aortography; case report with autopsy findings seven weeks following aortogram. AMA Arch Surg. 1956 Feb;72(2):290-4.
- Chin WS, Ng R. Acute fulminant pancreatitis following ventriculography. Cardiovasc Intervent Radiol. 1981;4(2):108-9. doi: 10.1007/BF02552388.
- Kheda MF, Szerlip HM. Two cases of iodixanol-induced pancreatitis. NDT Plus. 2008 Oct;1(5):296-9. doi: 10.1093/ ndtplus/sfn063.
- Gorges R, Ghalayini W, Zughaib M. A case of contrast induced pancreatitis following cardiac catheterization. J Invasive Cardiol. 2013 Oct;25(10):E203-4.
- Farooq AU, Amjad W, Yasin H. Rare Complication of Coronary Angiography: Contrast-Induced Acute Pancreatitis. Am J Ther. Nov/Dec 2017;24(6):e771-e772. doi: 10.1097/MJT.0000000000000626.
- Mui JJ, Shamavonian R, Thien KCP. Acute pancreatitis following coronary angiography: case report and review of contrast-induced pancreatitis. Int Surg J. 2020 Feb;7(3):870-2. doi: 10.18203/2349-2902.isj20200836.
- Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, Tsiotos GG, Vege SS; Acute Pancreatitis Classification Working Group. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013 Jan;62(1):102-11. doi: 10.1136/gutjnl-2012-302779.
- Schmidt J, Hotz HG, Foitzik T, Ryschich E, Buhr HJ, Warshaw AL, Herfarth C, Klar E. Intravenous contrast medium aggravates the impairment of pancreatic microcirculation in necrotizing pancreatitis in the rat. Ann Surg. 1995 Mar;221(3):257-64. doi: 10.1097/00000658-199503000-00007.
- Plock JA, Schmidt J, Anderson SE, Sarr MG, Roggo A. Contrast-enhanced computed tomography in acute pancreatitis: does contrast medium worsen its course due to impaired microcirculation? Langenbecks Arch Surg. 2005 Apr;390(2):156-63. doi: 10.1007/s00423-005-0542-y.
- Jin S, Orabi AI, Le T, Javed TA, Sah S, Eisses JF, Bottino R, Molkentin JD, Husain SZ. Exposure to Radiocontrast Agents Induces Pancreatic Inflammation by Activation of Nuclear Factor-κB, Calcium Signaling, and Calcineurin. Gastroenterology. 2015 Sep;149(3):753-64.e11. doi: 10.1053/j.gastro.2015.05.004.
- Yoshiwaza Y, Ogasa S, Izaki S, Kitamura K. Corticosteroidinduced pancreatitis in patients with autoimmune bullous disease: case report and prospective study. Dermatology. 1999;198(3):304-6. doi: 10.1159/000018137.
- Salvador VB, Singh M, Witek P, Peress G. Cyclophosphamide and doxorubicin-induced acute pancreatitis in a patient with breast cancer. BJMP. 2014;7(3):a727.
There are 14 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | January 29, 2022 |
| Submission Date | June 20, 2021 |
| Acceptance Date | October 7, 2021 |
| Published in Issue | Year 2022 Volume: 4 Issue: 1 |
e-ISSN: 2687-4245
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