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Necrotizing pancreatitis due to poisoning with organophosphate pesticides

Journal Volume 71 - 2008
Issue Fasc.1 - Case reports
Author(s) G. Roeyen, T. Chapelle, P. Jorens, B. Op de Beeck, D. Ysebaert
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Departments of (1) Hepatobiliary, Endocrine and Transplantation Surgery ; (2) Critical Care Medicine ; (3) Radiology, University Hospital Antwerp, Edegem, Belgium.

Several complications have been reported in relation to organophosphate poisoning. Pancreatitis due to cholinergic hyper- secretion related to this type of poisoning, is however rare and has usually a subclinical course. Necrotizing pancreatitis has only been reported in 3 patients. We present a case of a young man who deliberately ingested the organophosphate dichlorvos and developed a necrotizing pancreatitis. A distal spleen and vessel preserving pancreatectomy was performed already 36 hours after ingestion. We believe that due to this very early surgery, this patient could be discharged as early as 12 days after surgery. (Acta gastroenterol. belg., 2008, 71, 27-29).

© Acta Gastro-Enterologica Belgica.
PMID 18396746