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Kerosene Poisoning Complicated by Acute Pancreatitis
Sidaraddi Sanju1, Milind S Tullu1, Shruti Mondkar1
1Department of Pediatrics, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Parel, Mumbai, Maharashtra, India.
Journal of Pediatric Intensive Care
|November 2, 2020
Summary
Accidental kerosene ingestion in a child led to acute pancreatitis, a rare complication. Early recognition and considering pancreatitis in abdominal pain cases after kerosene poisoning are crucial for prompt diagnosis and management.
Area of Science:
- Pediatric Gastroenterology
- Toxicology
Background:
- Accidental kerosene ingestion is a common pediatric emergency.
- Acute pancreatitis is a serious condition with various etiologies.
Observation:
- A 6-year-old male ingested 15 mL of kerosene, presenting with vomiting.
- Abdominal pain developed on the second day, with significantly elevated serum amylase and lipase levels.
- Initial chest radiograph was normal; other causes of pancreatitis were ruled out.
Findings:
- Kerosene poisoning can be a rare cause of acute pancreatitis in children.
- Elevated amylase and lipase confirmed pancreatitis following kerosene ingestion.
- The rarity of this complication highlights the need for heightened clinical suspicion.
Implications:
- Clinicians should consider acute pancreatitis in the differential diagnosis of abdominal pain after kerosene poisoning.
- Early identification of this rare complication can lead to timely intervention.
- Further research is needed to understand the pathophysiology of pancreatitis post-kerosene ingestion.
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