title: Metastasis-induced acute pancreatitis in a patient with small cell carcinoma of the lungs.
abstract: BACKGROUND
  Pancreatic metastases are relatively common in advanced lung cancers (both small cell lung carcinoma and non-small cell lung carcinoma), but metastasis-induced acute pancreatitis is very unusual.
  
  
  METHODS
  A 51-year-old woman with small cell carcinoma of the lung developed acute pancreatitis as the initial manifestation. Abdominal ultrasonography revealed multiple pancreatic metastases which were confirmed by magnetic resonance imaging. Conventional treatment did not improve her condition. However, aggressive chemotherapy resulted in a dramatic recovery from the acute pancreatitis and significant improvement in her general condition.
  
  
  CONCLUSIONS
  When cases of acute pancreatitis in patients with small cell lung carcinoma are encountered, we must consider the possibility of metastasis-induced acute pancreatitis and that, should pancreatic metastases be found in these patients, chemotherapy may provide substantial benefit.
authors.affiliation: Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Tanaka
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nakazawa
authors.forename: Michihiro
authors.initials: M
authors.lastname: Yoshida
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Miyabe
authors.forename: Fumihiro
authors.initials: F
authors.lastname: Okumura
authors.forename: Itaru
authors.initials: I
authors.lastname: Naitoh
authors.forename: Kazuki
authors.initials: K
authors.lastname: Hayashi
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Ando
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Ohara
authors.forename: Takashi
authors.initials: T
authors.lastname: Joh
mesh_terms: D018288:Carcinoma, Small Cell / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000556:secondary*; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology*