J Assoc Physicians India. 2023 Jan;71(1):1.

ABSTRACT

INTRODUCTION: Acute pancreatitis (AP) is one of the most important gastrointestinal emergencies with significant morbidity, mortality, and financial burden. It is potentially a life-threatening condition unless attended to earliest.

MATERIALS: Acute Pancreatitis can present in various clinical scenarios with or without the involvement of multiple organ systems. This is a case series on Acute pancreatitis presented in various clinical settings and its tailor-made approach.

RESULT: Case-1: A 23-year-old pregnant female, 34 weeks of gestation, and a known case of connective tissue disorder on steroid therapy with acute edematous pancreatitis, treated with conservative management. Case-2: A 56-year-old male with acute interstitial edematous pancreatitis associated with hypertriglyceridemia was treated with plasmapheresis twice and recovered completely. Case-3: A 28-year-old male with Acute necrotizing pancreatitis with Intra & extra pancreatic collections and walled-off necrosis treated with Necrosectomy. Case-4: A 35-year-old male with Acute necrotizing pancreatitis who developed Hyperglycemia, AKI, Metabolic acidosis, Jaundice, Ascites Hyperkalemia, Pleural effusion, High-grade fever & MODS. Case-5: A 26-year-old male, known alcoholic with severe acute pancreatitis and bilateral pleural effusion, with insertion of Naso jejunal tube to start early enteral nutrition. Case-6: A 34-year-old male with acute necrotizing pancreatitis with a stone in the gall bladder was treated conservatively followed by cholecystectomy.

CONCLUSION: Given its rising prevalence, acute pancreatitis should be dealt with appropriately to prevent mortality or morbidity of the patients thereby increasing their disease-free life years.

PMID:37116035