Diagnosis

• Non-specific features include central, severe abdominal pain, pyrexia, haemodynamic instability, vomiting, ileus. Discolouration around the umbilicus (Cullen's sign) or flanks (Grey Turner's sign) is rarely seen.

• Plasma enzymes — elevated levels of amylase (usually >1000IU/ml) and pancreatic lipase are suggestive but non-specific. Levels may be normal, even in severe pancreatitis.

• Ultrasound

• Laparotomy

0 0

Post a comment