Acute Pancreatitis Case Study

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CONTRAST INDUCED PANCREATITIS:
AN UNUSUAL PRESENTATION FOLLOWING CARDIAC CATHETERIZATION
Mahesh Bavineni MD1, Mustafa Khan MD1, Rahil Kasmani MD1
1 Mercy Saint Vincent Medical Center, Toledo-OH

INTRODUCTION: Coronary heart disease remains the leading cause of death of men and women in the United States. Angiography and percutaneous coronary interventions (PCI) are an integral part in management of acute coronary syndromes. Well-defined complications of coronary angiography include allergic and anaphylactic reactions, vascular access complications, stroke, and contrast-induced kidney injury. Radiographic contrast agents (RCAs) are known to cause acute kidney injury. RCAs are also postulated to induce pancreatitis in experimental animal models. The first …show more content…

We present one of the rare cases of a patient with acute pancreatitis immediately following coronary angiography.
CASE DESCRIPTION: 62 y.o. male with h/o ESRD currently on dialysis, DM II, known coronary artery disease s/p CABG x 3(6 years ago) presented to the ER with complaints of lower abdominal pain started one day before presentation associated with mild nausea but denies any episodes of vomiting. He describes pain is located in lower abdomen with no radiation and no aggravating or relieving factors. Prior to this presentation he was seen at a different ER with similar presentation around 12 hours ago and was discharged to home with a diagnosis of constipation. After using laxatives and having bowel movement as the pain was not subsiding and he came to St Vincent. Physical examination was unremarkable with the exception of tenderness to palpation in lower

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