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Multiple myeloma presenting as acute pancreatitis.
N B Debnath1, A Chowdhury, S Maitra
1Department of Medicine, Institute of Post Graduate Medical Education and Research, Calcutta.
Summary
Acute pancreatitis is a rare initial symptom of multiple myeloma. This case highlights a fatal instance in an elderly man with abdominal pain and kidney failure, underscoring the need for early diagnosis.
Area of Science:
- Internal Medicine
- Oncology
- Gastroenterology
Background:
- Multiple myeloma is a plasma cell malignancy.
- Acute pancreatitis is an uncommon manifestation of multiple myeloma.
Observation:
- An elderly, non-alcoholic male presented with acute abdominal pain and progressive renal failure.
- Investigations revealed lytic bone lesions, M-protein on urine electrophoresis, and confirmed acute pancreatitis.
Findings:
- The patient exhibited a rare presentation of multiple myeloma.
- Diagnostic workup confirmed acute pancreatitis alongside signs of multiple myeloma.
Implications:
- This case underscores the importance of considering multiple myeloma in patients with unexplained acute pancreatitis, especially with concurrent renal failure.
- Early diagnosis and treatment may improve outcomes for this rare presentation.