International Journal of Research in Medical Sciences | August 2019 | Vol 7 | Issue 8 Page 3180 International Journal of Research in Medical Sciences Nadeem M et al. Int J Res Med Sci. 2019 Aug;7(8):3180-3182 www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012 Case Report Aluminium phosphide induced pancreatitis Mir Nadeem 1 *, Vishal Phogat 1 , Mir Waseem 2 , Tabinda Ayub Shah 3 INTRODUCTION Aluminium Phosphide (AlP) is a commonly used agricultural pesticide. It is cheap, effective, and easily- available. Aluminium Phosphide is used as a rodenticide, insecticide, and fumigant to pre-serve stored cereal grains, also known as Wheat pills. In Iran it is known as the rice tablet. 1 There have been frequent incidents of accidental or intentional deaths. Since the first available report of AlP poisoning in 1980s from India, it is now one of the most common and lethal poisonings with no available antidote. Highly poisonous, aluminium phosphide has been used for suicide. 2 It has been reported to be the most common cause of suicidal deaths in North India. 3,4 The fatal dose has been reported as 0.5 g for a 70 kg adult with a mean time interval between poisoning and death ABSTRACT Aluminium Phosphide (AlP) is a commonly used agricultural pesticide. It is cheap, effective, and easily available. Aluminium Phosphide is used as a rodenticide, insecticide, and fumigant to preserve stored cereal grains, also known as "Wheat pills". In Iran, it is known as the rice tablet. There, have been frequent incidents of accidental or intentional deaths. There have been only a few case reports on aluminum phosphide-induced pancreatitis in the literature available. In this report, we present the case of a young man who developed acute pancreatitis following ingestion of aluminum phosphide pellet in the absence of the usual risk factors and after exclusion of other possible causes of pancreatitis. 35-year-old male came to the ER of SGT Hospital, Gurugram, one hour after ingestion of a single 3 g tablet of Aluminium Phosphide (Celphos) at home, with a suicidal intent. He had three episodes of Vomiting on the way to the hospital. On Day 1 of admission, USG abdomen showed heterogeneity of head and the body of pancreas with minimal peri-pancreatic fluid, suggestive of Pancreatitis. Serum Amylase and lipase levels were raised throughout the hospital course. CT images were suggestive of pancreatitis. The signs and symptoms of Acute AlP Poisoning are non-specific, dose dependent and evolve with time. After ingestion, toxic features usually develop within a few minutes. The major lethal consequence of AlP ingestion is profound circulatory collapse, secondary to direct effects of toxins on cardiomyocytes, fluid loss, and adrenal gland damage. Our patient was diagnosed with acute pancreatitis in first 24hours of admission with high suspicion of pancreatitis and managed well with iv fluids and supportive treatment and was discharged after 3 weeks of in hospital stay. Keywords: Aluminium phosphide, Pancreatitis, Sepsis, Shock 1 Department of Medicine, SGT Medical College and Research Centre, Gurgoan, Haryana, India 2 Department of Medicine, GMC Baramulla, Jammu and Kashmir, India 3 Department of medicine GMC Srinagar, Jammu and Kashmir india Received: 25 May 2019 Revised: 17 June 2019 Accepted: 03 July 2019 *Correspondence: Dr. Mir Nadeem, E-mail: mirnadeem44@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20193414