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28 July 2017 : Case report  USA

Medication as a Cause of Acute Pancreatitis

Challenging differential diagnosis, Adverse events of drug therapy , Educational Purpose (only if useful for a systematic review or synthesis)

Rupendra Ghatak1ABCDEFG, Lina Masso2ABCDEF, Daniel Kapadia2ABCDEF, Zain I. Kulairi2E

DOI: 10.12659/AJCR.903327

Am J Case Rep 2017; 18:839-841

Abstract

BACKGROUND: Acute pancreatitis is an inflammatory condition of the pancreas characterized clinically by epigastric abdominal pain and elevated levels of pancreatic enzymes in the blood. Drug-induced pancreatitis has recently gained more attention and as a result, physicians are screening more frequently for medications as a cause of acute pancreatitis.

CASE REPORT: We report the case of a 74-year-old man with a significant past medical history for coronary artery disease, sleep apnea, and gastroesophageal reflux disease who presented with epigastric pain radiating to the back. After a careful history was taken, it was found the patient recently started furosemide; therefore, a diagnosis of furosemide-induced acute pancreatitis was made.

CONCLUSIONS: Furosemide and other medications should be strongly considered in the differential diagnosis of patients presenting with acute pancreatitis.

Keywords: Abnormalities, Drug-Induced, Furosemide

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923