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Pancreatitis as an unusual presentation of rhabdomyosarcoma
Maria Debora De Pasquale1, Maria Antonietta De Ioris, Annalisa Serra
1Pediatric Oncology Unit, Ospedale Pediatrico Bambino Gesù, Rome, Italy. mdebora.depasquale@opbg.net
Insights
Acute pancreatitis in children is uncommon with cancer. A 12-year-old boy presented with acute pancreatitis, which was the first sign of alveolar metastatic rhabdomyosarcoma.
Area of Science:
- Pediatric Oncology
- Gastroenterology
- Rhabdomyosarcoma
Background:
- Acute pancreatitis in children typically arises from causes like trauma, infections, or congenital issues.
- Malignancies are an infrequent cause of pediatric acute pancreatitis.
Observation:
- A 12-year-old male presented with symptoms of acute pancreatitis.
- This presentation was the initial clinical manifestation in the patient.
Findings:
- The patient was diagnosed with alveolar metastatic rhabdomyosarcoma.
- Acute pancreatitis served as the presenting symptom for this rare childhood cancer.
Implications:
- This case highlights the importance of considering rare etiologies, including malignancy, in pediatric acute pancreatitis.
- Early recognition of pancreatitis as a presenting sign of rhabdomyosarcoma may improve patient outcomes.
Abstract:
The most common etiologies of acute pancreatitis in children are trauma, multi-system disease, drugs, infections, idiopathic and congenital anomalies of the pancreaticobiliary system. Acute pancreatitis is rarely associated with underlying childhood malignancies. We report a 12-year-old male with acute pancreatitis as the presenting symptom of an alveolar metastatic rhabdomyosarcoma.
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