• Neth J Med · Jan 1999

    Case Reports

    Lessons from an unusual case: malignancy associated hypercalcemia, pancreatitis and respiratory failure due to ARDS.

    • A N Wymenga, T S van der Werf, W T van der Graaf, J E Tulleken, J G Zijlstra, and J J Ligtenberg.
    • Department of Internal Medicine, Groningen University, The Netherlands.
    • Neth J Med. 1999 Jan 1; 54 (1): 27-30.

    AbstractA 37-year old woman, presenting with severe hypercalcaemia-associated pancreatitis with pseudocyst formation, was admitted to intensive care because she developed ARDS with respiratory failure. Skeletal metastasis from non-small cell bronchial carcinoma were subsequently diagnosed. After she developed arterial occlusion in the lower limb, supportive treatment was withdrawn. Severe pancreatitis is an exceedingly unusual presentation of non-small cell bronchial carcinoma. Concepts of diagnostic and therapeutic strategies in the context of suspected unusual pathology, and the concept of futility are briefly discussed.

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