83세 여자 환자가 신장결석으로 입원하여 금식, 세프트리악손 투여 및 경피적 신쇄석술 후 퇴원하였고, 이후 명치 통증이 발생하여 응급실로 내원하였다. 혈액검사 및 복부 전산화 단층촬영에서 담석 및 췌장염 소견을 확인하였고, 담석은 이전에 보이지 않던 소견이었다. 이에 세프트리악손 유발 담석에 의한 급성 췌장염으로 진단하였고 보존적 치료 및 담낭절제술 후 퇴원한 예를 경험하여 보고하는 바이다.

Ceftriaxone is commonly used for the treatment of bacterial infection. But it may precipitate in bile causing biliary sludge, pseudolithiasis and gallstone especially in children. We report a case of ceftriaxone-induced acute pancreatitis in an old woman. An 83-year-old woman was admitted for treatment of renal stone. She had received intravenous ceftriaxone for 11 days. After percutaneous nephrolithotomy, she was discharged. After 12 days, she visited the emergency department due to epigastric pain. Laboratory finding was suggestive of gallstone pancreatitis and abdominal computed tomography revealed gallbladder stone, which was absent previously. After conservative care, she received cholecystectomy and discharged without sequelae.

• 이진미(강원대학교 의학전문대학원 강원대학교병원) | Jin Mi Lee (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine)
• 박진명(강원대학교 의학전문대학원 강원대학교병원) | Jin Myung Park (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine) Corresponding author
• 김지현(강원대학교 의학전문대학원 강원대학교병원) | Ji Hyun Kim (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine)
• 이원구(강원대학교 의학전문대학원 강원대학교병원) | Won Gu Lee (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine)
• 이상훈(강원대학교 의학전문대학원 강원대학교병원) | Sang Hoon Lee (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine)
• 남승주(강원대학교 의학전문대학원 강원대학교병원) | Seung-Joo Nam (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine)
• 강창돈(강원대학교 의학전문대학원 강원대학교병원) | Chang Don Kang (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine)
• 이성준(강원대학교 의학전문대학원 강원대학교병원) | Sung Joon Lee (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine)