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Diagnosis of acute pancreatitis relies on clinical symptoms and increase of serum lipase within 48 hours. We report the case of a patient admitted in the emergency department with a 24 hour history of acute abdominal pain. A computed tomography (CT) scan revealed an acute pancreatitis in spite of the lipase serum level being normal.
An 84 year old man was referred to our emergency department because of recurrent diffuse abdominal pain and vomiting for 24 hours. He had a history of type 1 diabetes mellitus, dysarthria, and left hemiplegia related to ischaemic stroke. He has previously been operated for suspected bowel related sepsis. He also had been treated for bladder polyps 2 years ago, and had had a left nephrectomy for unknown purpose. His current treatment included subcutaneous insulin, dalteparin (2500 U/day), omeprazole (20 mg/day), and venlafaxine (75 mg/day). He was not an alcoholic and did not smoke. …
Competing interests: none declared