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A 32-year old patient presented with recurrent pancreatitis, severe watery diarrhea and elevated serum levels of vasoactive intestinal polypeptide. His diarrhea appeared to respond to intramuscular propantheline. Initially he improved but had another attack of pancreatitis while hospitalized. Evaluation by ultrasound revealed the presence of a pseudocyst and endoscopic retrograde pancreatography demonstrated complete occlusion of the main pancreatic duct. Exploratory laparotomy was performed with drainage of a pseudocyst. Analysis of the pseudocyst fluid revealed an elevated amylase, lipase and vasoactive intestinal polypeptide level. It is believed that this patient's severe diarrhea was related to his pancreatitis and pancreatic pseudocyst with elevated levels of vasoactive intestinal polypeptide.
E J Burbige, and
R J Manning, and
J P Belber
January 1975,
Transactions of the Association of American Physicians,
E J Burbige, and
R J Manning, and
J P Belber
July 1975,
The New England journal of medicine,
E J Burbige, and
R J Manning, and
J P Belber
July 1976,
Lancet (London, England),
E J Burbige, and
R J Manning, and
J P Belber
September 1979,
World journal of surgery,
E J Burbige, and
R J Manning, and
J P Belber
December 1985,
Digestive diseases and sciences,
E J Burbige, and
R J Manning, and
J P Belber
September 1976,
Harefuah,
E J Burbige, and
R J Manning, and
J P Belber
September 1976,
Harefuah,
E J Burbige, and
R J Manning, and
J P Belber
January 1980,
Journal of surgical oncology,
E J Burbige, and
R J Manning, and
J P Belber
December 1978,
Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine,
E J Burbige, and
R J Manning, and
J P Belber
March 1985,
Cancer,
