Paracetamol induced acute pancreatitis: Case Report

Yıl 2012, Cilt: 2 Sayı: 1, 52 - 55, 01.03.2012

Hüseyin Demirsoy Selçuk Yaylacı Mustafa Volkan Demir Ahmet Bilal Genç Hakan Demirci Attila Önmez Ali Tamer

https://doi.org/10.5505/sakaryamj.2012.74946

Öz

Acute pancreatitis (AP) typically begins with abdominal pain. It is a acute clinic with the height of the blood and urine of pancreatic enzymes as a result of an inflammatory disease of the pancreas. AP is a disease with high morbidity and mortality. Drugs are considered to be the most common cause of acute pancreatitis after then alcohol and gall bladder stones. Paracetamol is widely used in our country and all over the world. While investigating the cause of acute pancreatitis, parasetamol should be kept in mind becouse of its common using. In this study, we present 18 years old male who becomes acute pancreatitis after taking high dose of paracetamol for suicide.

Anahtar Kelimeler

Paracetamol, Intoxication, Acute pancreatitis

Parasetamole Bağlı Akut Pankreatit: Olgu Sunumu

Öz

Akut pankreatit (AP) tipik olarak karın ağrısı ile başlayan ve genellikle pankreasın inflamatuvar hastalığı sonucu kan ve idrarda pankreas enzimlerinin yüksekliği ile birlikte seyreden akut bir klinik tablodur. AP morbiditesi ve mortalitesi yüksek olan bir hastalıktır. İlaçlar, alkol ve safra kesesi taşlarından sonra akut pankreatite yol açan en sık sebeplerdendir. Ağrı kesici ve antipiretik ilaçlardan parasetamol tüm dünyada ve ülkemizde yaygın olarak kullanılmaktadır. Hastalığın ciddiyeti düşünüldüğünde ve parasetamolün kullanımının yaygınlığı dikkate alındığında, AP' li hastalarda neden araştırılırken bu ilacın kullanımının da akılda tutulması gerektiğine dikkat çekilmiştir. Bu yazıda, öz kıyım amaçlı yüksek doz parasetamol alan ve klinik izleminde AP gelişen 18 yaşında bayan hastayı sunmayı amaçladık.

Anahtar Kelimeler

Parasetamol, İntoksikasyon, Akut Pankreatit

Kaynakça

• Sorensen HT, Jacobsen J, Norgaard M, et al. Newer cyclo- oxygenase-2 selective inhibitors, other non-steroidal anti- inflammatory drugs and the risk of acute pancreatitis. Aliment Pharmacol Ther 2006;24:111-6.
• Hocaoglu N, Kalkan S, Akgun A, et al. A retrospective evaluation of analgesic exposures from Izmir, Turkey. Hum Exp Toxicol 2007;26:629-36.
• Hauben M, Reich L. Drug-induced pancreatitis: lessons in data mining. Br J Clin Pharmacol 2004;58:560-2.
• Hoffman R, Nelson LS, Howland MA, et al, Flomenbaum NE, Goldfrank LR. In: Satar S, İkizceli İ, editors. Golfrank’in toksikolojik aciller el kitabı. 1th ed. Adana: Nobel Kitapevi; 2008. p. 315-18.
• Coward RA. Paracetamol-induced acute pancreatitis. Br Med J. 1977;1:1086.
• Gilmore IT, Tourvas E. Paracetamol-induced acute pancreatitis. Br Med J. 1977; 1: 753-4. [PMID 851712]
• Schmidt LE, Dalhoff K. Hyperamylasemia and acute pancreatitis in paracetamol poisoning. Aliment Pharmacol Ther. 2004;20:173-9.
• Mofenson HC, Caraccio TR, Nawaz H, et al. Acetaminophen induced pancreatitis. J Toxicol Clin Toxicol. 1991;29:223-30.
• Caldarola V, Hasset JM, Hall AH, et al. Hemorrhagic pancreatitis associated with acetaminophen overdose. Am J Gastroenrerol. 1986;81:579-82.
• Lancashire RJ, Cheng K, Langman MJ. Discrepancies between population-based data and adverse reaction reports in assessing drugs as causes of acute pancreatitis. Aliment Pharmacol Ther 2003;17:887-93.
• Claudia J. Nitsche, Nigel Jamieson, Markus M. Lerch, et al. Drug induced pancreatitis. Best Practice & Research Clinical Gastroenterology 2010;24:143-155.
• Bradley III EL. A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, GA, September 11 through 13, 1992. Arch Surg 1993;128:586-90.
• Carroll JK, Herrick B, Gipson T, et al. Acute pancreatitis: diagnosis, prognosis, and treatment. Am Fam Physician. 2007;75:1513-20.
• Al- Bahrani AZ, Ammori BJ. Clinical laboratory assessment of acute pancreatitis. Clinica Chimica Acta 2005;362:26-48.
• Byrne MF, Mitchell RM, Stiffler H, et al. Extensive investigationof patients with mild elevations of serum amylase and/or lipase is dlow yield. Can J Gastroenterol 2002;16:849-54.
• Sekimoto M , Takada T, Kawarada Y, et al. JPN Guidelines for the management of acute pancreatitis: epidemiology, etiology, natural history, and outcome predictors in acute pancreatitis. J Hepatobiliary Pancreat Surg 2006;13:10-24.
• Kimura Y, Takada T, Kawarada Y, et al. JPN Guidelenes for managemet pancreatitis: epidemiology, etyologi natural history,and outcome predictors in acute Pancreatitis. Hepatobiliary Pancreat Surg 2006;13:10-24.
• Taşkın B, Nazlı O, Çökmez A, et al. Akut Pankreatit Olgularının Değerlendirilmesi Klinik ve Deneysel Cerrahi Dergisi 1995;3:235.
• Vriens PW, Linde P, Solotema ET, et al. Computed tomography severity index is an early prognostic tool for acute pancreatitis. J Am Coll Surg 2005;201:497-502.
• Yokoi H, Naganuma T, Higashiguchi T. Prospektive study of protocol for selection treatment of acute pancreatitis based on scaring severity. Digestion 1999;60:14-18
• Badalov N, Baradarian R, Kadirawel I, et al. Drug-induced acute pancreatitis: an evidence-based review. Clin Gastroenterol Hepatol. 2007;5:648-61.
• Balani AR, Grendell JH. Drug-induced pancreatitis: incidence, management and prevention. Drug Saf. 2008;31:823-37.
• Hisato I, Tetsuhide I, Masahiro Y, et al. Acetaminophen-Induced Acute Pancreatitis. A Case Report. JOP. J Pancreas (Online) 2009;10:550-553.
• Gyamlani GG, Parikh CR. Acetaminophen toxicity: suicidal vs accidental. Crit Care. 2002;6:155–159.
• Prescott LF, Illingworth RN, Critchley JA, et al. Intravenous N-acetylcysteine: the treatment of choice for paracetamol poisoning. BMJ 1979;2:1097-100.