OBJECTIVES: To determine the aetiological factors, presentation and management of acute
pancreatitis and to assess the outcome of different forms of management in our set up.
DESIGN: A case series.
SETTING: Liaquat University Hospital, Jamshoro/Hyderabad - Sindh from January 2002 to December
METHOD: The data of 45 consecutive patients admitted with acute pancreatitis was collected
through a proforma and assessed with reference to aetiological factors, clinical presentation
and management in each case.
RESULTS: Majority (60%) of the patients belonged to 30-40 years of age. Thirty-six (80%) patients
presented in emergency. The most common aetiological factor for acute pancreatitis was
gallstones and the pain, nausea and vomiting were the main symptoms. Serum amylase (>3 x
normal) was seen in 36(80%) patients. Prediction of severity was identified through Ranson
score. It was 50% cases.
CONCLUSION: Acute pancreatitis in our set up shows a lower frequency of this disease when
compared to the world literature. However, when compared with aetiology and presentation, the
pattern remains the same. Meanwhile, due to adoptation of Western way of life, the incidence
seems to be increasing. Due to patientís delayed arrival, the diagnosis depending upon the level
of serum amylase seems to be misleading.
Pancreatitis, Acute. Management. Risk Factors.