Korean J Pancreas Biliary Tract.  2016 Jul;21(3):150-155. 10.15279/kpba.2016.21.3.150.

Acute Necrotizing Pancreatitis Caused by Iatrogenic Hypercalcemia

Affiliations
  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 2Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. drsong@amc.seoul.kr
  • 3Department of Gastroenterology, Dankook University Hospital, Dankook University, Medical College, Cheonan, Korea.

Abstract

Gallstones and alcohol consumption are well-known causes of acute pancreatitis, which usually follows a mild and self-limited course. Although extremely rare, hypercalcemia is a possible cause of acute pancreatitis. There are only few reported cases, all of which were mild and self-limited. Here we report a patient with iatrogenic hypercalcemia-induced necrotizing pancreatitis that progressed to serious adverse events such as biliary obstruction, peripancreatic fluid collection with walled-off necrosis, and acute cholecystitis. The patient was successfully treated with appropriate endoscopic and radiologic interventions, and recovered well.

Keyword

Pancreatitis; Acute necrotizing pancreatitis; Hypercalcemia; Calcium compounds
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