[Acute pancreatitis induced by metastases from small cell pulmonary cancer]

Although metastatic lesions associated with small cell lung cancer (SCLC) are rare in the pancreas, metastatic-induced acute pancreatitis from the same cancer is even more so. We discuss the clinical case of a 67-year-old patient with SCLC, diagnosed for 21 months and stable for 3 months, presenting in the emergency department with transfixing epigastric pain. The radiological study reveals two large masses in the pancreas as well as multiple peripancreatic adenopathies. They are confirmed as metastases of the SCLC. Among several treatment proposals, the initiation of palliative analgesia by both radiotherapy and drug therapy is preferred, due to the very advanced state of SCLC and the major toxicity of other systemic treatments.