Clinical Gastroenterology and Hepatology
Volume 7, Issue 2 , Pages 141-144, February 2009

A 50-Year-Old Woman With Unexplained Recurrent Pancreatitis

  • John G. Lieb II
    • ,
  • Chris E. Forsmark

      Affiliations

    • Corresponding Author InformationAddress requests for reprints to: Dr Chris E. Forsmark, Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Box 100214, Room HD-602, 1600 SW Archer Rd, Gainesville, FL 32610-0214; fax: 352-392-3618

published online 04 September 2008.

A 50-year-old woman presents to your emergency department with her second attack of acute pancreatitis. Two months ago she developed severe epigastric pain radiating to the back, associated with nausea and vomiting. She was evaluated and admitted at that time. On admission, she had a lipase of 1725 U/L, AST 45 U/L, ALT 50 U/L, normal alkaline phosphatase and bilirubin, calcium 8.6 mg/dL, albumin 3.8 g/dL, triglycerides 320 mg/dL, and a white blood cell count of 11,000/mm3. She was hospitalized for 5 days, during which time you saw her in consultation.

Abbreviations used in this paper: ANA, antinuclear antibody, CFTR, cystic fibrosis transmembrane conductance regulator, CT, computed tomography, ERCP, endoscopic retrograde cholangiopancreatography, EUS, endoscopic ultrasonography, MR, magnetic resonance, SPINK-1, serine protease inhibitor kazal type 1.

 

 The authors disclose no conflicts.

PII: S1542-3565(08)00893-8

doi:10.1016/j.cgh.2008.08.038

Clinical Gastroenterology and Hepatology
Volume 7, Issue 2 , Pages 141-144, February 2009