A Rare Emergency Diagnosis: Pancreatic ductal rupture

Chronic pancreatitis is a condition that results from episodes of acute pancreatitis. It is difficult to diagnose chronic pancreatitis in the early stages and to recognize complications. Recognizing duct rupture, one of the complications of chronic pancreatitis, is important for initiating treatment. A 75-year-old woman presented to the emergency department with abdominal pain. Amylase and lipase levels were 65 u/L and 75 u/L, respectively. Computed tomography performed in the emergency department revealed ductal rupture and the patient was hospitalized in the gastroenterology service. Treatment included endoscopic examination followed by pancreatic rest, hydration and proton pump inhibitors. Pancreatic duct rupture, which is rarely encountered in the emergency department, should be considered as an alternative diagnosis in patients presenting with abdominal pain and a previous pancreatitis attack.