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

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

Digestive Diseases and Sciences 32(3): 327-331

ISSN/ISBN: 0163-2116

PMID: 3028735

DOI: 10.1007/bf01297062

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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Accession: 039179080

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