Journal of the Pancreas Open Access

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- (2009) Volume 10, Issue 2

Ischemic Acute Necrotizing Pancreatitis in a Marathon Runner. Reply to Comment

Jay J Mast1, Marjolein JM Morak1, Bernard T Brett2, Casper HJ van Eijck1

1Department of Surgery, Erasmus Medical Centre. Rotterdam, The Netherlands

2Department of Gastroenterology, James Page University Hospitals NHS Foundation Trust. Norfolk, England, United Kingdom

*Corresponding Author:
Casper HJ van Eijck
Department of Surgery, Erasmus Medical Centre Rotterdam,
's Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands
Phone: +31-10.463.3854
Fax: +31-10.703.5503
E-mail: c.vaneijck@erasmusmc.nl

Received March 2nd, 2009

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Dear Sir

We agree with Dr. Löhr and Dr. Sandberg [1] that more unusual causes of acute necrotizing pancreatitis should be sought in this particular patient. Although atherosclerotic microangiopathy is less expected in an experienced marathon runner, genetic causes of pancreatitis should be considered. However, since this patient lives in the United Kingdom, we did not search for genetic factors influencing the development of pancreatitis. A recommendation for further genetic counselling after discharge was made.

Concerning hemoconcentration, a hemoglobulin level of 10.7 mmol/L (reference range: 8.6-10.5 mmol/L) and a hematocrit of 47% (reference range: 40-50%) were observed. Furthermore, the urea level in our patient was 9.9 mmol/L (reference range: 2.5-7.5 mmol/L) at admission which was also related to dehydration. The hemoglobulin level decreased to 8.3 mmol/L and the hematocrit to 39% after 2 liters of natrium-chloride infusion.

With regards

Jay J Mast

Marjolein JM Morak

Bernard T Brett

Casper HJ van Eijck

Conflict of interest

The authors have no potential conflicts of interest

References