A short topic presentation on Acute Pancreatitis.

1. Welcome to
Morning session
By: Dr. Abdullah Al Noman &
Dr. Masud
Intern doctor
Dept. of Surgery
TMMC&H

2. Gallstone
Pancreas

3. Pancreatolithiasis

4. Contents
• Introduction
• Anatomy
• Definition
• Epidemiology
• Pathophysiology
• Etiology
• Clinical Presentations
• Lab Investigations
• Severity Scoring System
• Treatment
• Prognosis
• Complications

5. Introduction
The pancreas is a retroperitoneal
glandular organ in the digestive
system and endocrine system.
Inflammation of the gland parenchyma
of the pancreas is pancreatitis.

6. Anatomy of Pancreas

7. Definition
 Acute pancreatitis is defined as an
acute condition presenting with
abdominal pain and is usually
associated with raised pancreatic
enzyme levels in the blood or urine as
a result of pancreatic inflammation.
Acute pancreatitis may recur.

8. Epidemiology
Acute pancreatitis accounts for 3 per cent of all
cases of abdominal pain among patients
admitted to hospital in the UK. The hospital
admission rate for acute pancreatitis is 9.8 per
year per 100 000 population in the UK, although
worldwide, the annual incidence may range
from 5 to 50 per 100 000. The disease may occur
at any age, with a peak in young men and older
women.

9. Pathophysiology

11. Etiology
Non-traumatic(75%)
1. Biliary tract diseases
2. Alcohol
3. Viral infection(EBV, CMV, mumps)
4. Drugs(steroid, thiazide, furosemide)
5. Scorpion bites
6. Hyperlipidemia
7. Hyperparathyroidism

12. Traumatic (5%)
1. Operative trauma
2.Blunt/penetrating trauma
3.Lab test(ERCP /
angiography)
Idiopathic(20%)
Others

13. Clinical Presentations
Symptoms
Severe epigastric pain, radiating to the back,
relieved by leaning forward/sitting.
Nausea
Vomiting
Diarrhoea
loss of appetite and
Fever/chills

14. Signs