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A peripheral blood smear revealed schistocytes, prompting suspicion for TMA. Therapeutic plasma exchange (TPE) was promptly initiated and she completed 10 TPE sessions that improved her anaemia and serum creatinine and resolved the thrombocytopenia. Since TPE was effective and the ADAMTS13 assay revealed 55% activity in the absence of anti-ADAMTS13 IgG prior to initiation of therapy, a confident diagnosis of TMA caused by acute pancreatitis was made. There was no evidence of relapse 2\u2009years later.<\/jats:p>","DOI":"10.1136\/bcr-2016-218581","type":"journal-article","created":{"date-parts":[[2017,5,16]],"date-time":"2017-05-16T03:15:27Z","timestamp":1494904527000},"page":"bcr-2016-218581","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["A rare case of thrombotic microangiopathy triggered by acute pancreatitis"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2493-2673","authenticated-orcid":false,"given":"Kevin","family":"Singh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed 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