Hyperglycaemia as an indicator of concurrent acute pancreatitis in fulminant hepatic failure associated with hepatitis B infection

A. Srinivasan, S. Venkataraman, S. G. Hansdak, O. C. Abraham, D. Mathai

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6 Citations (Scopus)


Pancreatitis occurring concurrently with fulminant hepatic failure (FHf) is primarily detected on autopsy and is seldom clinically apparent. We report a fatal case of FHF in a 25-year-old woman which was related to acute hepatitis B infection. In this patient, hyperglycaemia needing insulin infusions led to the detection of acute pancreatitis. FHF complicated by acute pancreatitis has a poor prognosis. A high index of suspicion is necessary for its diagnosis. The role of orthotopic liver transplantation and use of antiviral therapies need further evaluation in this situation.

Original languageEnglish
Pages (from-to)236-237
Number of pages2
JournalSingapore Medical Journal
Issue number5
Publication statusPublished - May 2005



  • Fulminant hepatic failure
  • Hepatitis B
  • Hyperglycaemia
  • Pancreatitis

ASJC Scopus subject areas

  • Medicine(all)

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