Table 1 Timeline table
From: Drug-induced acute pancreatitis in a bodybuilder: a case report
Relevant past medical history and interventions | |
|---|---|
Past medical history insignificant for any pancreatic diseases or risk factors. He admitted to using anabolic–androgenic steroids, clenbuterol, multiple vitamin supplements, and growth hormone injection from an inexpensive supplier at double the recommended dose |
Summaries from initial and follow-up visits | Diagnostic testing | Interventions |
|---|---|---|
Based on clinical presentation and CT findings, the patient was diagnosed with acute pancreatitis with Bedside Index of Severity in Acute Pancreatitis (BISAP) score of 0 (< 1% risk of mortality), which is characterized by the absence of organ failure and local or systemic complications. During his hospital stay, the patient was managed with aggressive intravenous hydration and pain management, with significant improvement noticed within 3 days, after which he was discharged home | Laboratory studies: amylase, lipase | Discontinuation of offending drugs (anabolic–androgenic steroids, subcutaneous growth hormone, and clenbuterol); aggressive intravenous hydration and pain management |
Patient had no further episodes of pancreatitis during 2 years of follow-up | Imaging: abdominal CT, abdominal ultrasound |