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

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 ret...

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Bibliographic Details
Published in:Digestive diseases and sciences 1987-03, Vol.32 (3), p.327-331
Main Authors: Noseda, A, Gangji, D, Cremer, M
Format: Article
Language:English
Subjects:
Acute Disease
Carcinoma, Small Cell - diagnostic imaging
Carcinoma, Small Cell - pathology
Cholangiopancreatography, Endoscopic Retrograde
Humans
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - pathology
Male
Middle Aged
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - diagnostic imaging
Pancreatic Neoplasms - secondary
Pancreatitis - diagnostic imaging
Pancreatitis - etiology
Pancreatitis - pathology
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Description
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.
ISSN:0163-2116
1573-2568
DOI:10.1007/BF01297062