Digestive Diseases and Sciences

, Volume 32, Issue 3, pp 327–331

Acute pancreatitis as presenting symptom and sole manifestation of small cell lung carcinoma

  • André Noseda
  • Diamon Gangji
  • Michel Cremer
Case Report

Summary

A 58-year-old man with no sign of pulmonary disease and a normal chest x-ray presented with acute pancreatitis resistant to conventional medical management and a mass in the head of the pancreas. The presumptive diagnosis was pancreatic cancer with tumor-induced pancreatitis. However, endoscopic retrograde cholangiopancreatography suggested metastatic rather than primary tumor, so that an extrapancreatic primary was actively sought. Further lung work-up demonstrated a small cell carcinoma of the lung. This case indicates that metastasis-induced acute pancreatitis can be the presenting symptom and sole manifestation of lung cancer.

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Copyright information

© Plenum Publishing Corporation 1987

Authors and Affiliations

  • André Noseda
    • 1
    • 2
    • 3
  • Diamon Gangji
    • 1
    • 2
    • 3
  • Michel Cremer
    • 1
    • 2
    • 3
  1. 1.Chest Department, Hôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
  2. 2.Department of Medicine, Hôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
  3. 3.Department of Gastroenterology, Hôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium

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