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Small cell carcinoma induced acute pancreatitis

Department of Radiology, Stobhill Hospital, 133 Balomock Road, Glasgow G21, UK

This excerpt was created in the absence of an abstract.

A 56-year-old lady presented with a 6 week history of increasing upper abdominal pain, vomiting and backache. She was jaundiced with reduced air entry over the right lung base and guarding of the upper abdomen. A chest radiograph showed elevation of the right hemidiaphragm; an abdominal radiograph was normal. The serum amylase was 1560 U I^–1 (NR < 100). A diagnosis of acute pancreatitis was made and intensive medical treatment started. The following day an ultrasound examination showed several hypoechoic areas within an enlarged pancreas (Figure 1). The biliary tree appeared normal.

The patient's condition deteriorated over the next 10 days with the development of hypoproteinaemia, pleural effusions and oedema despite parenteral nutrition.

Key Words: Acute pancreatitis • Pancreatic metastases • Ultrasound • Computed tomography

Received for publication May 11, 1992. Accepted for publication August 10, 1992.