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VOLUME 24 , ISSUE 2 ( February, 2020 ) > List of Articles

CASE REPORT

Acute Pancreatitis in a Patient with Subarachnoid Hemorrhage: A Causal Link or a Mere Coincidence?

Amit Goyal, Mathangi Krishnakumar, Muthuchellapan Radhakrishnan, Dwarakanath Srinivas

Keywords : Encephalopathy, Meningitis, Pancreatitis, Sepsis, Subarachnoid hemorrhage

Citation Information : Goyal A, Krishnakumar M, Radhakrishnan M, Srinivas D. Acute Pancreatitis in a Patient with Subarachnoid Hemorrhage: A Causal Link or a Mere Coincidence?. Indian J Crit Care Med 2020; 24 (2):141-142.

DOI: 10.5005/jp-journals-10071-23348

License: CC BY-NC 4.0

Published Online: 00-02-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Both subarachnoid hemorrhage (SAH) and acute pancreatitis (AP) are associated with systemic inflammatory response leading to extracerebral multiple organ dysfunction. In this case report, we describe an adult male, who developed AP in the postoperative period following surgical clipping of an anterior communicating artery aneurysm. The diagnosis of pancreatitis got delayed because the patient showed signs of systemic inflammation which would also been seen following SAH.


  1. Chen S, Li Q, Wu H, Krafft PR, Wang Z, Zhang JH. The harmful effects of subarachnoid hemorrhage on extracerebral organs. Biomed Res Int 2014;2014:858496. DOI: 10.1155/2014/858496.
  2. Cappell MS. Acute pancreatitis: etiology, clinical presentation, diagnosis, and therapy. Med Clin North Am 2008;92(4):889–923. DOI: 10.1016/j.mcna.2008.04.013.
  3. Ogawa K, Kanemoto K, Shirasaka Y, Kawasaki J, Yamasaki S. Acute pancreatic damage associated with convulsive status epilepticus: a report of three cases. Psychiatry Clin Neurosci 2001;55(6):619–622. DOI: 10.1046/j.1440-1819.2001.00914.x.
  4. Working Party of the British Society of Gastroenterology, Association of Surgeons of Great Britain and Ireland, Pancreatic Society of Great Britain and Ireland, Association of Upper GI Surgeons of Great Britain and Ireland. UK guidelines for the management of acute pancreatitis. Gut 2005;54(Suppl 3):iii1–iii9. DOI: 10.1136/gut.2004.057026.
  5. Moreiras Plaza M, Rodriguez Goyanes G, Cuina L, Alonso R. On the toxicity of valproic-acid. Clin Nephrol 1999;51(3):187–189.
  6. Forte A, Gallinaro L, Montesano G, Turano R, Bertagni A, Illuminati G. A possible case of carbamazepine induced pancreatitis. Riv Eur Sci Med Pharmacol 1996;18(5–6):187–189.
  7. Zhang XP, Tian H. Pathogenesis of pancreatic encephalopathy in severe acute pancreatitis. Hepatobiliary Pancreat Dis Int 2007;6(2):134–140.
  8. Weathers AL, Lewis SL. Rare and unusual… or are they? Less commonly diagnosed encephalopathies associated with systemic disease. Semin Neurol 2009;29(2):136–153. DOI: 10.1055/s-0029-1213734.
  9. Sharf B, Bental E. Pancreatic encephalopathy. J Neurol Neurosurg Psychiatry 1971;34:357–361.
  10. Rau B, Poch B, Gansauge F, Bauer A, Nüssler AK, Nevalainen T, et al. Pathophysiologic role of oxygen free radicals in acute pancreatitis: initiating event or mediator of tissue damage? Ann Surg 2000;231(3):352–360. DOI: 10.1097/00000658-200003000-00008.
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