Gadolinium-Induced Acute Graft Pancreatitis in a Simultaneous Pancreas-Kidney Transplant Recipient

Table 1

Relevant laboratory parameters during the patient’s hospital admission (the 8 criteria included in the modified Glasgow system to predict the severity of acute pancreatitis at 48 hours include age, white cell count, partial pressure of oxygen, serum calcium, urea, lactate dehydrogenase, serum albumin, and blood glucose [9]).

Test	3 months prior	Day 0	Day 1	Day 2	Day 3	Normal Range
Haemoglobin (g/L)	146	141	123	116	122	115–155
White cell count (×10^9/L)	8.98	22.34	15.66	13.73	13.95	4–11
Absolute neutrophil count (×10^9/L)	6.70	12.96	14.50	10.40	11.20	1.8–7.5
Platelet count (×10^9/L)	304	409	285	252	250	150–450
C-Reactive protein (mg/L)		12.4	—	98.8	—	0–8
Urea (mmol/L)	8.6	12.4	10.8	7.6	4.4	2.7–8.0
Creatinine (umol/L)	97	159	115	108	86	45–90
Serum calcium (mmol/L)	—	2.33	2.21	2.02	2.11	2.10–2.60
Blood glucose (mmol/L)		8.4	7.2	4.8	4.7	3.2–5.5
Lipase (U/L)	20	3368	541	115	30	0–60
C-Peptide (pmol/L)		915	—	—	—	166–1466
Lactate dehydrogenase (U/L)		249	418	414	382	120–250
Alanine aminotransferase (U/L)		31	38	32	20	0–55
Total cholesterol (mmol/L)		3.4	—	—	—
Triglyceride (mmol/L)		0.5	—	—	—
Tacrolimus level (ug/L)		5.0	—	—	6.2	5–15