Manipal Journal of Medical Sciences


Acute pancreatitis is a rare, but life-threatening complication of organophosphorus (OP) compounds, and generally shows a subclinical course. In this case, acute pancreatitis and the pseudocysts were diagnosed nearly two weeks post OP ingestion. Possible etiological factors for acute pancreatitis (alcohol, biliary disease, medication, and others) were excluded. Since the patient had a history of OP ingestion, we diagnosed Organophosphorus-induced acute pancreatitis. The CT images showed clearly defined pseudocysts on the pancreas. Supportive medical care and total parenteral nutrition are frequently employed treatment modalities for pancreatic pseudocysts, and we followed the same. Patient was discharged after he showed symptomatic improvement and was lost to follow up since. This case appears to be a rare incident in literature, of a patient developing acute pancreatitis with a pancreatic pseudocyst as a delayed complication of OP (dichlorvos) poisoning