Severe Acute Pancreatitis Complicated by Delirium Tremens and Ventricular Tachycardia: A Case Report

Multisystem complications can occur in severe acute pancreatitis, especially in patients with a history of chronic consumption of alcohol, posing a therapeutic challenge and increased morbidity. Alcohol withdrawal can result in autonomic dysfunction, resulting in life-threatening arrhythmias. Early recognition and aggressive management of cardiac arrhythmias in Delirium tremens is crucial for improved survival and requires a multidisciplinary approach. INTRODUCTION:Acute pancreatitis (AP) is an acute inflammatory process of the pancreas that can initiate a systemic inflammatory response syndrome (SIRS), resulting in acute respiratory distress syndrome (ARDS) and multiorgan dysfunction.The most common etiologies include alcohol, gallbladder stones, hypertriglyceridemia, endoscopic retrograde cholangiopancreatography, drugs, trauma, and post-operative.Uncommon etiologies include hypercalcemia, infections, cystic fibrosis, autoimmune, and hereditary causes.Delirium Tremens is the severe form of alcohol withdrawal.Ventricular Tachycardia is a known complication of delirium tremens.However, severe acute pancreatitis, delirium tremens, and ventricular tachycardia manifesting all together in a single patient is a rare scenario.