dr Akshay Kapoor
Pediatric Gastroenterologist
BLK Super Speciality Hospital
About Author

The symptoms of acute pancreatitis depend on the age at presentation. Pain abdomen, specifically epigastric pain radiating to back clinches the diagnosis of acute pancreatitis. To diagnose acute pancreatitis two out of the three should be present:

  1. Abdominal pain
  2. Radiological evidence - Initially Ultrasound (also rules out gall bladder stones), Contrast CT Scan/ MRI, as needed.
  3. Elevated serum amylase and lipase(>3 times upper limit of normal)

Other symptoms may include jaundice, fever, diarrhea, irritability, and lethargy. Jaundice and clay-colored stools suggest an abnormality of the hepato-biliary tract such as a choledocholithiasis, choledochal cyst, which may be accompanied with a palpable abdominal mass. Infants and toddlers are not able to express abdominal pain, but vomiting, irritability, and lethargy are common. Radiological evidence, elevated serum amylase & lipase help further in diagnosis. A case of pancreatitis should be admitted.

In severe acute pancreatitis, children may initially present with shock, and symptoms of multiorgan failure, including dyspnea, oliguria, hemorrhage, and encephalopathy.

Posted On: 05/07/2018

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