(Journal Article): Carbofuran-Induced Acute Pancreatitis
 
Rizos E, Liberopoulos E, Kosta P, Efremidis S, Elisaf M (Department of Internal Medicine and Department of Radiology, School of Medicine, University of Ioannina. Ioannina, Greece, egepi@cc.uoi.gr )
 
IN: JOP. J Pancreas (Online) 2004; 05(1):44-47

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ABSTRACT: CONTEXT: Carbamate insecticides are widely used in commercial agriculture and home gardening. A serious side effect of organophosphate and carbamate intoxication is the development of acute pancreatitis. CASE REPORT: A 36-year-old Caucasian woman was admitted to our hospital with cholinergic crisis and pancreatitis soon after the ingestion of a carbamate insecticide (carbofuran). An abdominal CT scan disclosed pancreatic necrosis with intrapancreatic fluid collection, consistent with the development of a pancreatic pseudocyst in a subsequent CT scan. No predisposing factor for pancreatitis was evident. Pseudocholinesterase levels returned to normal 7 days later and the patient was discharged in good physical condition one month after admission. DISCUSSION: Although acute pancreatitis is not infrequent after organophosphate intoxication, it is quite rare after carbamate ingestion and has not been previously reported after carbofuran intoxication.

TYPE OF PUBLICATION: Case Report