Mateş I N, Dinu Daniela, Lupu Amelia, Popescu Luminiţa, Bălănescu Andra, Constantinoiu S
Spital Clinic Sfânta Maria, Clinica Chirurgie, bd. Ion Mihalache nr. 37-39, sector 1, Bucureşti, 78218.
Chirurgia (Bucur). 2003 Jul-Aug;98(4):353-60.
Osseous and joint manifestations (decalcification, osteolysis, osteonecrosis; poliarthrytis; periarticular fat necrosis) are sometimes encountered in chronic pancreatitis or carcinoma, but exceptional after severe acute pancreatitis, especially infected pancreatic necrosis. Pathogenesis of calcium deficiency in acute pancreatitis is multifactorial, including extensive lipolysis and metabolic disturbances. We report on a healthy, young male, that developed decalcification and polyarthritis consecutive to a long-outcome, severe acute pancreatitis. We comment upon hypocalcemia, as a rare complication of acute pancreatitis.