[Acute pancreatitis associated with MMR vaccination]

Lars Folmer Hansen1, Mette Maria Nordling, Henrik Bindesbøl Mortensen

  • 1Paediatrisk Afdeling, Amtssygehuset i Gentofte.

Insights

A 12-year-old experienced abdominal pain post-MMR vaccination. Doctors observed pancreatic swelling, suggesting a potential link between the measles, mumps, and rubella vaccine and pancreatitis.

Area of Science:

  • Pediatric Gastroenterology
  • Vaccinology
  • Immunology

Background:

  • Measles, mumps, and rubella (MMR) vaccination is a routine immunization.
  • Pancreatitis, while rare, can occur in children.
  • Investigating potential adverse events following immunization is crucial for public health.

Observation:

  • A 12-year-old girl presented with abdominal pain three weeks after her second MMR vaccination.
  • Magnetic resonance cholangiopancreatography (MRCP) revealed dilatation of the common bile duct and pancreatic head edema.
  • Other potential causes, including gallstones, viral infections (Hepatitis A, EBV, CMV, enterovirus), Yersinia, and cystic fibrosis, were ruled out.

Findings:

  • The patient's presentation of pancreatitis following MMR vaccination is unusual.
  • Normal serum calcium levels excluded hypercalcemia as a cause.
  • The absence of other identified etiological factors points towards a possible vaccine-related event.

Implications:

  • This case suggests a potential, albeit rare, causal association between MMR vaccination and pancreatitis in children.
  • Further research is warranted to explore the immunological mechanisms linking MMR vaccine and pancreatic inflammation.
  • Clinicians should consider pancreatitis in the differential diagnosis for abdominal pain in children recently vaccinated with MMR.

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