Published online Sep 6, 2018. doi: 10.12998/wjcc.v6.i9.291
Peer-review started: March 25, 2018
First decision: April 26, 2018
Revised: June 18, 2018
Accepted: June 27, 2018
Article in press: June 27, 2018
Published online: September 6, 2018
Processing time: 167 Days and 18.8 Hours
A 32-year-old woman presented with nausea and vomiting for 12 h associated with dizziness and epigastric pain.
Acetaminophen-induced acute pancreatitis.
Biliary pancreatitis, alcohol-induced pancreatitis, hyperlipidemic pancreatitis and codeine-induced pancreatitis.
Laboratory workup revealed a significant elevation of serum amylase of 990 U/L but normal aminotransferases.
Magnetic resonance cholangiopancreatography showed that the pancreas was bulky without exudation. Computed tomography demonstrated swelling of the pancreas, especially the head of the pancreas, with fluid collection around the pancreas.
Abrosia, routine treatment for pancreatitis, and N-acetylcysteine were administered to the patient.
A total of eleven cases of acetaminophen-induced acute pancreatitis have been reported in the literature but this case took the lowest dose of acetaminophen without liver damage.
Acetaminophen-induced acute pancreatitis is rare and should be considered in the differential diagnosis of acute pancreatitis, especially in high-risk patients with an overdose of suspected drugs.