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

Hospital Course

Initial workup revealed a normal complete blood count and basic metabolic profile. Serum proteins were normal with AST = 1,265 U/L; ALT = 1,232 U/L; ALP = 185 U/L; serum amylase = 2,152 U/L; lipase = 39,346 U/L; and serum triglyceride = 38 mg/dL. Urinalysis and toxicology screening and cardiac enzymes were unremarkable, as were HIV, viral hepatitis and rheumatologic panels. Abdominal ultrasound and magnetic retrograde cholangiography revealed normal biliary tract and sludge, but no stones. A hepatic indole diacetic acid scan was negative. Saw palmetto was held and patient was managed with rehydration and analgesics only. He improved remarkably with complete normalization of his enzymes by the fourth day. He has remained asymptomatic 8 months after complete abstinence.


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