acute pancreatitis
Synopsis
complications
- peripancreatic free fluid collections
- extrapancreatic spread of acute pancreatitis
- infected or noninfected pseudocysts
- pancreatic abscess
- complex cystic structure with internal debris/septations and echogenic gas bubbles
- vascular pseudoaneurysm
- acute hemorrhage
- venous thrombosis
- associated gastric varices
Etiology
obstructive (obstruction or overdistension of the pancreatic duct)
- gallstones migration (60-80% of cases)
- biliary malformations or pancreatic malformations
- pancreas divisum
- choledochocele
- ampullary tumors or pancreatic tumors
toxic
- exposure to ethanol (alcohol abuse)
- drugs
- azathioprine
- glucocorticoids
- cyclosporin-A
- furosemide
- calcium chloride
- other toxins
infectious
- mumps
- cytomegalovirus (CMV)
- Epstein-Barr virus
- varicella
- rubeola
- group B coxsackievirus
- enterovirus
- enteric cytopathic human orphan virus (ECHO virus)
metabolic
- hypertriglyceridemia
- hypercalcemia
- MELAS with mitochondrial DNA tRNALeu(UUR) gene mutations (8891562)
- Reye syndrome
trauma
- blunt trauma to the abdomen
- iatrogenic trauma
- postoperative trauma
- endoscopic retrograde cholangiopancreatography
vascular abnormalities
- atherosclerotic emboli
- hypoperfusion
- vasculitis
cystic fibrosis
unknown cause (10-25%)
orthotopic liver allograft (9523868)
- emergency liver allograft
- extensive peripancreatic dissection
- pancreatic surgical trauma
- infectious peritonitis