Hypercalcemia-Related Acute Pancreatitis In A Chronic Hemodialysi̇s Patient: A Case Report

In patients who is on chronic hemodialysis treatment hypercalcemia can occur by various etiological factors. The most common cause is iatrogenic hypercalcemia. Acute pancreatitis is a rare complication of hypercalcemia. A 78-year-old diabetic female chronic hemodialysis patient had been admitted to our clinic with nausea, vomiting, confusion and abdominal pain complaints, had very high serum calcium level, and acute pancreatitis was diagnosed by clinical symptoms, high amylase and lipase levels and radiographic findings. That case is accepted as hypercalcemia-related acute pancreatitis. Risk of iatrogenic hypercalcemia is high in patients with chronic renal failure, but data concerned with hypercalcemia-related acute pancreatitis is very scant. Therefore, this case is worth of publication.

Kronik Hemodiyaliz Hastasýnda Ýatrojenik Hiperkalsemiye Baðlý Akut Pankreatit: Olgu Sunumu

Kronik hemodiyaliz tedavisi gören hastalarda çeþitli etyolojik faktörlerle hiperkalsemi geliþebilir. En sýk nedeni iatrojenik hiperkalsemidir. Akut pankreatit hiperkalseminin nadir bir komplikasyonudur. Kliniðimize þuur bulanýklýðý, kusma, bulantý, karýn aðrýsý ile baþvuran 78 yaþýnda diyabetik kadýn kronik hemodiyaliz hastasýnda; yüksek serum kalsiyum düzeyinin yanýsýra, yüksek amilaz ve lipaz deðerleri ve radyolojik bulgularla ile birlikte akut pankreatit tanýsý konuldu. Olgu hiperkalsemiye baðlý akut pankreatit yönünden irdelendi. Ýatrojenik hiperkalsemi riskinin yüksek olduðu kronik böbrek yetmezlikli hastalarda hiperkalsemiye baðlý akut pankreatit bildiriminin yok denecek kadar az olmasý nedeniyle olgu irdelenmeye deðer bulundu.