Acute relapsing pancreatitis (ARP) with pseudocyst formation due to sporadic hypertriglyceridemic pancreatitis in a 25 yrs old male: Case report

Abstract

Introduction:Acute pancreatitis is defined as typical pancreatic abdominal pain (mid epigastric with radiation to the back) persisting for several hours, associated with elevation of serum amylase or lipase (to more than three times the normal levels). Acute Relapsing Pancreatitis is defined as two or more well-documented separate episodes of pancreatitis (pain and abnormal laboratory studies) that resolve between attacks. Evidence of pancreatitis should be documented by computed tomography (CT) or magnetic resonance imaging (MRI) during at least one episode. Acute relapsing pancreatitis (ARP) represents a challenging problem in the field of hepatobiliary and pancreatic disorders. It is associated with signify-cant morbidity, impairment in quality of life and a negative impact on medical costs. 1 Acute relapsing pancreatitis may result from alcohol ingestion, cholelithiasis, autoimmune disease or congenital or acquired abnormalities of the ductal system. A minor fraction of patients may harbor a genetic defect predisposing them to acute relapsing pancreatitis. 2 Marked elevation of triglyceride levels appears to be causally linked to acute pancreatitis and hyperlipidemia is found in 12% to 38% of patients presenting with acute pancreatitis. Elevated cholesterol levels are not associated with pancreatitis. 3 Case report:A 25 yrs old average built male patient