Pancreatitis is a serious adverse effect of valproic acid (VPA). We report
a case of VPA-induced pancreatitis in a dialysis patient. A brief review co
ncerning VPA toxicity and acute pancreatitis in chronic renal patients is p
resented. We suggest that end-stage renal disease (ESRD) should be consider
ed another risk factor for VPA-induced pancreatitis.