An unreported complication of acute pancreatitis

Abstract

Acute pancreatitis constitutes 3% of all admissions with abdominal pain. There are reports of osteal fat necrosis leading to periosteal reactions and osteolytic lesions following severe pancreatitis, particularly in long bones. A 54-year-old man was admitted to our hospital with acute pancreatitis, who later developed spinal discitis secondary to necrotizing pancreatitis. He was treated conservatively with antibiotics and after a month he recovered completely without any neurological deficit. This case is reported for its unusual and unreported spinal complications after acute pancreatitis.

A case report of pancreatitis-panniculitis-polyarthritis syndrome – an unusual but serious presentation of pancreatic disease

“…9,10 Besides our patient, there is only one other case of spinal discitis associated with pancreatitis reported in the literature. 25 Prompt recognition of PPP syndrome is critical to drive treatment toward the pancreatic condition and prevention of sequelae.…”

‘Pancreatitis, polyarthritis, panniculitis syndrome’ (PPP syndrome) plus prolonged pyrexia-a rare presentation of chronic pancreatitis

“…There are 25 well-documented case reports of 'PPP syndrome' consisting of pancreatitis, panniculitis and polyarthritis in literature. 9 Muthukumarasamy et al 10 have reported a case of spinal discitis associated with pancreatitis. Very rarely, multiple aseptic subcutaneous fat necrosis, prolonged fever, polyarthritis, polyserositis, vasculitis and eosinophilia, isolated or in combination, may appear during the disease process.…”