Saw Palmetto-induced Pancreatitis

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

Disclosures

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.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.

processing....