Saw Palmetto-induced Pancreatitis

Ismaila Jibrin, MD; Ayodele Erinle, MD; Abdulfattah Saidi, MD; Zakari Y. Aliyu, MD


South Med J. 2006;99(6):611-612. 

In This Article

Case Report

A 55-year-old white male with a remote history of alcoholism, sober for more than 15 years and no history of cholelithiasis, presented with severe nonradiating epigastric pain associated with nausea and vomiting. Patient's current medical problems dated back 14 months when he visited the emergency room with these symptoms but was only treated as an outpatient and told he had pancreatitis. Four months ago, he was admitted again for similar complaints and was found to have acute hepatitis and pancreatitis, but detailed workup failed to reveal any etiology. Current symptoms started on the day of presentation with progressively worsening, nonradiating sharp epigastric pain accompanied by 3 episodes of profuse nonprojectile, nonbilious vomiting. He denied weight loss, fever or chills, jaundice, melena, pruritus, change of urine or stool color and gave no history of recent endoscopic evaluation. The patient's other significant comorbidity is benign prostatic hypertrophy, and in the last 4 years has treated urinary obstruction with saw palmetto or intermittent catheterization.

He was found to be acutely ill-looking, slightly icteric with normal vital signs. His abdomen was soft with right hypochondrial and epigastric tenderness without guarding or rebound. Liver was not palpable and Courvoisier, Cullen and Gray Turner signs were negative. Rectal examination did not reveal abnormal findings.


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