Dai MG, Li LF, Cheng HY, Wang JB, Ye B, He FY. Acute pancreatitis as a rare complication of gastrointestinal endoscopy: A case report. World J Clin Cases 2022; 10(13): 4185-4189 [PMID: 35665111 DOI: 10.12998/wjcc.v10.i13.4185]
Corresponding Author of This Article
Fei-Yun He, MD, Chief Physician, Doctor, Department of Gastroenterology, Lishui Chinese Medicine Hospital, No. 800 Zhongshan Street, Liandu District, Lishui 323000, Zhejiang Province, China. 408252097@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
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Dai MG, Li LF, Cheng HY, Wang JB, Ye B, He FY. Acute pancreatitis as a rare complication of gastrointestinal endoscopy: A case report. World J Clin Cases 2022; 10(13): 4185-4189 [PMID: 35665111 DOI: 10.12998/wjcc.v10.i13.4185]
World J Clin Cases. May 6, 2022; 10(13): 4185-4189 Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4185
Acute pancreatitis as a rare complication of gastrointestinal endoscopy: A case report
Mu-Gen Dai, Li-Fen Li, Hai-Yan Cheng, Jian-Bo Wang, Bin Ye, Fei-Yun He
Mu-Gen Dai, Jian-Bo Wang, Bin Ye, Department of Gastroenterology, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, Zhejiang Province, China
Mu-Gen Dai, Li-Fen Li, Department of Gastroenterology, Liandu District People's Hospital, Lishui 323000, Zhejiang Province, China
Hai-Yan Cheng, Department of Nursing, Liandu District People's Hospital, Lishui 323000, Zhejiang Province, China
Fei-Yun He, Department of Gastroenterology, Lishui Chinese Medicine Hospital, Lishui 323000, Zhejiang Province, China
Author contributions: Dai MG and Li LF contributed equally to this work; Dai MG, Li LF, Cheng HY, Wang JB, Ye B, and He FY designed the research study; Dai MG, Li LF, Cheng HY, Wang JB, Ye B, and He FY performed the research; Dai MG, Li LF, Cheng HY, Wang JB, Ye B, and He FY analyzed the data and wrote the manuscript; All authors have read and approved the final manuscript.
Supported byMedical Health Science and Technology Project of Zhejiang Provincial Health Commission, No. 2020ZH080; and the Medical and Health Care Project of Lishui, No. 2021SJZC059.
Informed consent statement: Consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Fei-Yun He, MD, Chief Physician, Doctor, Department of Gastroenterology, Lishui Chinese Medicine Hospital, No. 800 Zhongshan Street, Liandu District, Lishui 323000, Zhejiang Province, China. 408252097@qq.com
Received: September 13, 2021 Peer-review started: September 13, 2021 First decision: October 18, 2021 Revised: October 27, 2021 Accepted: March 27, 2022 Article in press: March 27, 2022 Published online: May 6, 2022 Processing time: 228 Days and 16.5 Hours
Abstract
BACKGROUND
Acute pancreatitis is an uncommon complication of gastrointestinal endoscopy, especially if the patient has none of the common risk factors associated with pancreatitis; such as alcoholism, gallstones, hypertriglyceridemia, hypercalcemia or the use of certain drugs.
CASE SUMMARY
A 56-year-old female patient developed abdominal pain immediately after the completion of an upper gastrointestinal endoscopy. The pain was predominantly in the upper and middle abdomen and was persistent and severe. The patient was diagnosed with acute pancreatitis. Treatment included complete fasting, octreotide injection prepared in a prefilled syringe to inhibit pancreatic enzymes secretion, ulinastatin injection to inhibit pancreatic enzymes activity, esomeprazole for gastric acid suppression, fluid replacement and nutritional support. Over the next 3 d, the patient's symptoms improved. The patient remained hemodynamically stable throughout hospitalization and was discharged home in a clinically stable state.
CONCLUSION
Pancreatitis should be considered in the differential diagnosis of abdominal pain after upper and lower gastrointestinal endoscopy.
Core Tip: Acute pancreatitis is an uncommon complication of gastrointestinal endoscopy, especially when the patient has none of the common risk factors associated with pancreatitis; such as alcoholism, gallstones, hypertriglyceridemia, hypercalcemia or the use of certain drugs. We report an unusual case of acute pancreatitis related to gastrointestinal endoscopy. It is important to recognize this complication in order that appropriate treatment can be undertaken quickly for an optimal outcome.
