Evidence map›Paper›PMID 41878595›Full record

ArticleOxford medical case reports2026

Rhabdomyolysis after ERCP in a patient with pancreatic adenocarcinoma: a paraneoplastic phenomenon?

Roaa Aljunaidi, Qutaiba Qafisheh, Abdalhakim Shubietah, Mohamed S Elgendy, Muath A Baniowda, Ahmed Emara, Mohanad Qwaider, Fadi Safi

Abstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Roaa AljunaidiFaculty of Medicine, Palestine Polytechnic University, Wadi Al-Haria, Hebron, West Bank, P.O. Box 198, Palestine.
Qutaiba QafishehDepartment of Medicine, College of Medicine and Life Sciences, The University of Toledo, 3000 Arlington Avenue, Toledo, OH 43614-2598, United States.
Abdalhakim ShubietahDepartment of Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave, Chicago, IL 60657, United States.ORCID https://orcid.org/0000-0002-8300-0262
Mohamed S ElgendyFaculty of Medicine, Tanta University, El-Gash St., Tanta, El-Gharbia Governorate 31527, Egypt.
Muath A BaniowdaDepartment of Medicine, School of Medicine, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO 64108-2792, United States.
Ahmed EmaraFaculty of Medicine, Al-Azhar University, 1 El Mokhayam El Daem St., Nasr City, Cairo 11884, Egypt.
Mohanad QwaiderDepartment of Medicine, College of Medicine and Life Sciences, The University of Toledo, 3000 Arlington Avenue, Toledo, OH 43614-2598, United States.ORCID https://orcid.org/0009-0002-2150-5772
Fadi SafiDepartment of Medicine, College of Medicine and Life Sciences, The University of Toledo, 3000 Arlington Avenue, Toledo, OH 43614-2598, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParaneoplastic myopathies are rare complications of malignancy, most often associated with lung, ovarian, and gastrointestinal cancers. Rhabdomyolysis as a paraneoplastic manifestation of pancreatic adenocarcinoma is exceedingly uncommon and typically portends a poor prognosis. CASE PRESENTATION: We describe an 80-year-old male with newly diagnosed pancreatic adenocarcinoma who developed fulminant rhabdomyolysis shortly after endoscopic ultrasound and ERCP with biliary stent placement. Laboratory studies showed CPK levels > 66 000 U/l and serum myoglobin > 40 000 ng/ml, leading to acute kidney injury and multiorgan failure despite aggressive fluid resuscitation, corticosteroids, CRRT, and broad-spectrum antibiotics. Autoimmune and paraneoplastic serologies were unrevealing. The patient died on hospital day five.

conclusionThe rapid onset of rhabdomyolysis following ERCP raises the possibility that tumor manipulation or antigenic exposure may serve as an immune trigger for paraneoplastic muscle injury.

Indexed as

acute kidney injuryendoscopic retrograde cholangiopancreatography (ERCP)pancreatic adenocarcinomaparaneoplastic myopathyparaneoplastic rhabdomyolysis

Identifiers

PMID41878595
PMCPMC13007873

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