Korean J Pancreas Biliary Tract.  2015 Oct;20(4):222-227. 10.15279/kpba.2015.20.4.222.

Acute Necrotizing Pancreatitis during L-asparaginase Treatment in a Patient with Acute Lymphoblastic Leukemia

Affiliations
  • 1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. hjkimmd@korea.ac.kr

Abstract

L-asparaginase is an important component of antileukemic therapy in patients with acute lymphoblastic leukemia. The degree of L-asparaginase toxicity is variable. Several cases of L-asparaginase related pancreatitis have been reported in the literature. However, necrotizing pancreatitis in adult has not been reported yet. Herein, we present a case of necrotizing pancreatitis caused by L-asparaginase that was complicated by pancreatic duct leakage and pseudocyst formation, but successfully treated with percutaneous drainage and octreotide treatment.

Keyword

L-asparaginase; Acute lymphoblastic leukemia; Acute pancreatitis; Pseudocyst; Pancreatic duct leak

MeSH Terms

Adult
Drainage
Humans
Octreotide
Pancreatic Ducts
Pancreatitis
Pancreatitis, Acute Necrotizing*
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
Octreotide
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