HEMOLYSIS AND PANCREATITIS DURING A DIALY SIS SESSION

We report a 72 years old woman on regular hemodialysis, with secondary hy perparathyroidism, who experienced two episodes of acute hemolysis complicated by pancreatitis during the dialysis procedure. In both ep isodes hemolysis was of moderate intensity with neither associated car diovascular instability nor consumption coagulopathy. Acute pancreatit is was diagnosed with peak amylase levels reaching 5,000 UI/L but rapi dly falling to normal within 48-72 hours, after resolution of the hemo lytic process. Hemolysis-associated pancreatitis has been previously d escribed in the medical literature. The case we report does not presen t the hemodynamic and coagulation complications usually involved in th e development of pancreatitis in suchs cases.