Acute pancreatitis caused by pemetrexed, carboplatin, and gemcitabine in a patient with lung cancer: A rare case report

Drug-induced pancreatitis is reported as one of the less common causes of acute pancreatitis. Many drugs such as sulfonamides, estrogens, tetracyclines, valproic acid, antiretroviral drugs, some chemotherapy drugs such as azathioprine, and 6 MP are known to cause acute pancreatitis. We report a case...

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Main Authors: Vishal Kulkarni, B J Srinivasa, P K Kiran, Vinu Sarathy, S Shivakumar Swamy, Radheshyam Naik
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2019-01-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=5;spage=133;epage=135;aulast=Kulkarni
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author Vishal Kulkarni
B J Srinivasa
P K Kiran
Vinu Sarathy
S Shivakumar Swamy
Radheshyam Naik
author_facet Vishal Kulkarni
B J Srinivasa
P K Kiran
Vinu Sarathy
S Shivakumar Swamy
Radheshyam Naik
author_sort Vishal Kulkarni
collection DOAJ
description Drug-induced pancreatitis is reported as one of the less common causes of acute pancreatitis. Many drugs such as sulfonamides, estrogens, tetracyclines, valproic acid, antiretroviral drugs, some chemotherapy drugs such as azathioprine, and 6 MP are known to cause acute pancreatitis. We report a case of acute pancreatitis following administration of chemotherapy for non-small cell lung cancer (NSCLC). The patient was diagnosed to have NSCLC (histologically proven adenocarcinoma). After thorough evaluation including radiological investigations consisting of a positron-emission tomography computed tomography scan, he was staged as a Stage III B NSCLC. As per protocol, he was started on combination chemotherapy with pemetrexed and carboplatin. After 2 weeks of chemotherapy, he developed acute pancreatitis which was managed conservatively. He was administered different drug combination during the next cycle involving gemcitabine and carboplatin. However, he developed recurrent acute pancreatitis which was managed conservatively. He was then referred to the radiotherapy department as it was deemed that he is at risk of recurrent episodes of pancreatitis if further cycles of chemotherapy are continued.
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series Indian Journal of Medical and Paediatric Oncology
spelling doaj-art-8b97f8ff34c74299abc5c0c26c71f99d2025-08-20T03:09:55ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292019-01-0140513313510.4103/ijmpo.ijmpo_189_17Acute pancreatitis caused by pemetrexed, carboplatin, and gemcitabine in a patient with lung cancer: A rare case reportVishal KulkarniB J SrinivasaP K KiranVinu SarathyS Shivakumar SwamyRadheshyam NaikDrug-induced pancreatitis is reported as one of the less common causes of acute pancreatitis. Many drugs such as sulfonamides, estrogens, tetracyclines, valproic acid, antiretroviral drugs, some chemotherapy drugs such as azathioprine, and 6 MP are known to cause acute pancreatitis. We report a case of acute pancreatitis following administration of chemotherapy for non-small cell lung cancer (NSCLC). The patient was diagnosed to have NSCLC (histologically proven adenocarcinoma). After thorough evaluation including radiological investigations consisting of a positron-emission tomography computed tomography scan, he was staged as a Stage III B NSCLC. As per protocol, he was started on combination chemotherapy with pemetrexed and carboplatin. After 2 weeks of chemotherapy, he developed acute pancreatitis which was managed conservatively. He was administered different drug combination during the next cycle involving gemcitabine and carboplatin. However, he developed recurrent acute pancreatitis which was managed conservatively. He was then referred to the radiotherapy department as it was deemed that he is at risk of recurrent episodes of pancreatitis if further cycles of chemotherapy are continued.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=5;spage=133;epage=135;aulast=KulkarniAcute pancreatitiscarboplatinchemotherapygemcitabinepemetrexed
spellingShingle Vishal Kulkarni
B J Srinivasa
P K Kiran
Vinu Sarathy
S Shivakumar Swamy
Radheshyam Naik
Acute pancreatitis caused by pemetrexed, carboplatin, and gemcitabine in a patient with lung cancer: A rare case report
Indian Journal of Medical and Paediatric Oncology
Acute pancreatitis
carboplatin
chemotherapy
gemcitabine
pemetrexed
title Acute pancreatitis caused by pemetrexed, carboplatin, and gemcitabine in a patient with lung cancer: A rare case report
title_full Acute pancreatitis caused by pemetrexed, carboplatin, and gemcitabine in a patient with lung cancer: A rare case report
title_fullStr Acute pancreatitis caused by pemetrexed, carboplatin, and gemcitabine in a patient with lung cancer: A rare case report
title_full_unstemmed Acute pancreatitis caused by pemetrexed, carboplatin, and gemcitabine in a patient with lung cancer: A rare case report
title_short Acute pancreatitis caused by pemetrexed, carboplatin, and gemcitabine in a patient with lung cancer: A rare case report
title_sort acute pancreatitis caused by pemetrexed carboplatin and gemcitabine in a patient with lung cancer a rare case report
topic Acute pancreatitis
carboplatin
chemotherapy
gemcitabine
pemetrexed
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=5;spage=133;epage=135;aulast=Kulkarni
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