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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 11, Issue 1, May 2014 pp 78-80

Research Article

Pseudocyst of Pancreas Presenting in Respiratory Failure Due to Myasthenia Crisis

Mohammad Hafiz Deshmukh¹, Ashish Deshmukh², Sunil Jadhav³, Shivprasad Kasat⁴, Sandeep Dandin⁵

{¹Assistant Professor, ²Professor, ³Associate Professor, ⁴Assistant Professor, ⁵PG Student}

Academic Editor : Dr. Aher K.R.

We report a case history of a 43 yr old lady, who presented with acute abdominal pain and then went into respiratory failure. The patient was not a known case of myasthenia gravis. The Chest X-ray was normal, blood gas analysis showed respiratory acidosis, CT scan of abdomen showed pseudocyst of pancreas with necrosis in tail of pancreas. Myasthenia crisis can be triggered by a variety of factors, in this case by acute pancreatitis. In our case myasthenia gravis was diagnosed since we had difficulty in weaning her off from the ventilator. Myasthenia crisis with pseudocyst of pancreas and acute pancreatitis is rare. After putting her on ventilator, there was improvement in blood gas, but she could not be weaned off the ventilator even after repeated attempts because of poor respiratory muscle activity. Serum Acetylcholineesterase receptor auto antibodies were found to be high, and she was then diagnosed as having Myasthenia gravis. Myasthenia gravis should be suspected in a patient with unexplained respiratory failure.