Nassif Nicolas, Katrib Nadia, Karam Karam, Fiani Elias
Department of Internal Medicine, University of Balamand, Beirut, Lebanon.
Department of Gastroenterology and Hepatology, University of Balamand, Beirut, Lebanon.
Eur J Case Rep Intern Med. 2025 Apr 18;12(5):005393. doi: 10.12890/2025_005393. eCollection 2025.
Acute pancreatitis is an inflammatory condition of the pancreas that can result from various aetiologies, one of them being drug-induced pancreatitis, a relatively rare cause. Drug-induced pancreatitis should be considered in patients presenting with epigastric pain, elevated pancreatic enzymes, and imaging findings consistent with acute pancreatitis, in the absence of any common precipitants such as alcohol, gallstones, trauma. We report a case of acute pancreatitis following the initiation of baclofen therapy, with no other identifiable risk factors. A probable drug adverse reaction was established through the Naranjo Adverse Drug Reaction Probability Scale. This case highlights the need for physicians to consider baclofen as a potential cause of acute pancreatitis.
Given the patient's presentation following baclofen initiation and absence of other identifiable causes, this case suggests a probable association between baclofen and acute pancreatitis.Physicians should recognize the potential of baclofen to cause this inflammation when prescribing it and consider it as a differential diagnosis in cases of unexplained acute pancreatitis.
急性胰腺炎是胰腺的一种炎症性疾病,可由多种病因引起,其中之一是药物性胰腺炎,这是一种相对罕见的病因。对于出现上腹部疼痛、胰腺酶升高且影像学检查结果与急性胰腺炎相符,但无酒精、胆结石、外伤等任何常见诱发因素的患者,应考虑药物性胰腺炎。我们报告一例在开始使用巴氯芬治疗后发生急性胰腺炎的病例,无其他可识别的危险因素。通过Naranjo药物不良反应概率量表确定了可能的药物不良反应。该病例强调医生需要将巴氯芬视为急性胰腺炎的潜在病因。
鉴于患者在开始使用巴氯芬后出现的症状且无其他可识别的病因,该病例提示巴氯芬与急性胰腺炎之间可能存在关联。医生在开处方时应认识到巴氯芬引起这种炎症的可能性,并在不明原因的急性胰腺炎病例中将其作为鉴别诊断的考虑因素。