ACUTE Pancreatitis CHRONIC Pancreatitis

• an acute process that • A continuing

occurs in the background inflammation with
of a previously normal irreversible structural
pancreas changes.
• presents as an • typically causing pain
emergency and/or permanent loss
• may return to normal of function.
after resolution of the • Can present with a
episode. chronic pain, or as an
acute exacerbation of
chronic pancreatitis.
Aetiology
• Idiopathic
• Gallstones
• Ethanol
• Trauma
• Steroids
• Mumps
• Autoimmune
• Scorpion Bites
• Hypercalcaemia, Hypothermia,
Hypercholesterolaemia
• ERCP
• Drugs – Azathioprine, NSAIDS,
Diuretics
Peri umbilical bruising Flank bruising
 Mild/moderate Severe
disease: pancreatitis:
• IV fluids • full resuscitation
• Analgesics, in ICU with
antiemetics invasive
• Monitor progress monitoring
• Brief period of
fasting
 • Acute fluid collection • SIRS
Local

Systemic
• Pancreatic necrosis • Multiorgan failure
• Pancreatic abscess • Metabolic
• Pseudocyst • -Hypocalcemia
• Pancreatic ascites • -Hyperglycemia
• Pleural effusion • -Hyperlipidemia
• Portal/splenic vein thrombosis • DIC
• Pseudoaneurysm
 Lymphatics
–
Peritoneum
& LN

Spread

Blood
Local Stream –
Spread Brain, Bone,
Liver, Lungs