Acute pancreatitis

Acute pancreatitis is sudden onset severe inflammation of pancreas manifesting as pain abdomen, abdomen distension, vomiting and constipation
Patients with severe disease may have decreased urinary output and respiratory distress

Common causes of acute pancreatitis are

  • Gall bladder stone
  • Alcohol intake
  • Increased lipids in blood
  • Hypercalcemia
  • Drugs

Hypertriglyceridemia

  • Hepatocellular carcinoma (HCC)
  • Tumor in pancreas or ampulla
  • Worms in pancreatic duct

Diagnosis
In a patient with the history of pain suggestive of pancreatic in origin, following test are done to confirm the diagnosis of acute pancreatitis

  • Serum Amylase and Lipase
  • USG abdomen
  • CECT abdomen

Treatment
Patients with acute pancreatitis should be hospitalized and should be traeted with

  •  
  • Adequate IV fluids
  • Organ support in the case of organ failure
  • IV antibiotics in case of infection
  • Surgery or endoscopic/percutaenous drainage of infecetd collections

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