EXTRA-PANCREATIC MANIFESTATION AND COMPLICATIONS OF ACUTE PANCREATITIS

Objective: To determine the extra-pancreatic manifestation and complications of acute pancreatitis. Patients and Methods: The six months observation study was conducted at tertiary care hospital and comprised fifty cases of clinical suspicion/diagnosis of acute pancreatitis, altered biochemical parameters (serum amylase, serum lipase) in favor of acute pancreatitis, Ultrasonography suggestive of acute pancreatitis and known case of chronic pancreatitis with features of acute symptoms are taken up for computed tomography study and evaluated. The patient was asked to be in overnight nil oral status and after obtaining renal function tests the contrast-enhanced CT was done. Clinical details, laboratory, ultrasonography and computed tomography findings of the case will be recorded as per the proforma. The extrapancreatic manifestation and complications of acute pancreatitis were explored. The frequency / percentages (%) and means ±SD computed for study variables. Results: During six months study period total fifty patients of acute pancreatitis were explored for extrapancreatic manifestations and complications. The frequency for male and female population was 35 (70%) and 15 (30%) with mean ± SD for age of male and female individuals was 56.82±8.65 and 53.82±6.32 respectively. The extrapancreatic manifestation includes none 20 (40%), left pleural effusion 06 (12%), right pleural effusion 03 (6.0%), bilateral pleural effusion 07 (14%), ascites 12 (24%), splenic vein thrombosis 01 (2.0%), portal vein thrombosis 01 (2.0%) while the complication includes pseudocyst 12 (24%) and infected necrosis 04 (8.0%). Conclusion: The existence of extra pancreatic manifestations and local complications associated with increased the mortality. Keywords: Acute pancreatitis, Extra-pancreatic manifestation and Complications