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Adverse drug reactions
Sulfasalazine induced acute pancreatitis in a patient with prior cholecystectomy
  1. Vishal G Shelat
  1. General Surgery, Tan Tock Seng Hospital, Singapore, Singapore
  1. Correspondence to Vishal G Shelat, General Surgery, Tan Tock Seng Hospital, Singapore 308433, Singapore; vgshelat{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2020-138648

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    Acute pancreatitis (AP) is a common cause of abdominal pain, and drug-induced pancreatitis (DIP) is uncommon. We report a 61-year-old woman with probable DIP. She had a history of rheumatoid arthritis, osteoporosis and laparoscopic cholecystectomy for acute cholecystitis. She was admitted with 1 day history of epigastric pain radiating to the back. She did not consume alcohol. Serum amylase was normal, and a CT scan revealed interstitial edematous pancreatitis (IEP), with morphologic changes at the head and uncinate process of the pancreas. Fasting lipids, serum calcium and liver function tests were normal. A magnetic resonance cholangiopancreatography (MRCP) scan also confirmed IEP with the absence of a common bile duct …

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    Footnotes

    • Contributors VGS planned the study and wrote the manuscript.

    • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.