L-asparginase induced pseudopancreatic cyst: a rare case report
S M Abhayakumar1, Samit Purohit2, B S Arunakumari3
1Kidwai Memorial Institute of Oncology, Dr.M.H.Marigouda Road, Bangalore, 560029 India ; H.No. 11/366/67 Siddeshwar Nilaya, New Raghavendra Colony, Gulbarga 02, Brahmpur, Karnataka India.
Abstract:
L-Asparginase is a frequently used drug in hematological malignancies. Various side effects associated with its use include hypersensitivity, hyperglycemia, hypercoaguability and acute pancreatitis. We describe a rare complication of pancreatic pseudocyst in a 12 year old boy of Acute lymphoblastic leukemia (ALL) treated with MCP-841 protocol (during re-induction phase). Nearing the end of induction i.e. day 25, patient complained of a painful swelling in the epigastrium and left hypochondrium. Investigations revealed a pancreatic pseudocyst for which he underwent cystojejunostomy. Post surgical period was uneventful.
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