title: Silent acute pancreatitis with encephalomalacia mimicking hepatic coma.
abstract: A very rare case of acute pancreatitis with concurrent encephalomalacia and ascites mimicking hepatic coma is described. The possibliity that the pancreatitis was caused by the administration of chlorothiazide in a diabetic patient is suggested as possible etiology. It is emphasized that when a cirrhotic patient develops coma, the possibility of painless,silent pancreatitis with encephalomalacia as well as hepatic coma should be considered in the differential diagnosis.
mesh_terms: D000208:Acute Disease; D000368:Aged; D001201:Ascites / Q000209:etiology; D001344:Autopsy; D001921:Brain / Q000473:pathology; D002740:Chlorothiazide / Q000009:adverse effects; D003937:Diagnosis, Differential; D004678:Encephalomalacia / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D006501:Hepatic Encephalopathy / Q000175:diagnosis*; D006801:Humans; D008099:Liver / Q000473:pathology; D008103:Liver Cirrhosis / Q000150:complications; D008278:Magnesium Sulfate / Q000627:therapeutic use; D008297:Male; D010179:Pancreas / Q000473:pathology; D010195:Pancreatitis / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis*
chemical_list: D008278:Magnesium Sulfate; D002740:Chlorothiazide