Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : August | Volume : 11 | Issue : 8 | Page : OD03 - OD04

A Rare Surprising Cause of Acute Severe Pancreatitis

Cyriac Abby Philips, Philip Augustine, George Joseph, Lijesh Kumar, Pushpa Mahadevan

1. Associate Director, Department of Hepatology and Liver Transplant Medicine, PVS Institute of Digestive Diseases, Kochi, Kerala, India. 2. Chairman, Department of Gastroenterology, PVS Institute of Digestive Diseases, Kochi, Kerala, India. 3. Senior Consultant, Department of Radiology, PVS Institute of Digestive Diseases, Kochi, Kerala, India. 4. Consultant, Department of Radiology, PVS Institute of Digestive Diseases, Kochi, Kerala, India. 5. Head, Department of Pathology, Lakeshore Hospital, Kochi, Kerala, India.

Correspondence Address :
Dr. Philip Augustine,
Associates, PVS Memorial Hospital Campus, Kaloor, Kochi-682017, Kerala, India.
E-mail: abbyphilips@gmail.com

Abstract

A 39-year-old woman was admitted with clinical, biochemical and imaging features suggestive of acute pancreatitis. Conservative and guideline based management failed to improve her condition. Repeate the imaging, utilizing contrast revealed the progression of extra-pancreatic signs in the absence of pancreatic necrosis, the absence of intra-abdominal fluid collections, enhancing omental and peritoneal deposits and obstructive pancreatitis. A biopsy and histopathological evaluation of the omentum revealed rare anaplastic large cell lymphoma causing obstructive pancreatitis. In patients who present with pancreatitis not responding to conventional treatment and with an atypical disease course, the diagnostic possibility of rare causes of pancreatitis such as obstructive/infiltrative pathology must be thought of.

Keywords

Anaplastic lymphoma, B-cell lymphoma, Critical care, Multiple organ failures, Pancreatitis

How to cite this article :

Cyriac Abby Philips, Philip Augustine, George Joseph, Lijesh Kumar, Pushpa Mahadevan. A RARE SURPRISING CAUSE OF ACUTE SEVERE PANCREATITIS. Journal of Clinical and Diagnostic Research [serial online] 2017 August [cited: 2017 Oct 19 ]; 11:OD03-OD04. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=August&volume=11&issue=8&page=OD03-OD04&id=10386

DOI and Others

DOI: 10.7860/JCDR/2017/27421.10386

Date of Submission: Feb 10, 2017
Date of Peer Review: Apr 29, 2016
Date of Acceptance: Jun 08, 2017
Date of Publishing: Aug 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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