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Digestive system
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Endocrine glands
Pancreatitis, acute - CT scan
Pancreatitis, acute - CT scan


Acute pancreatitis

Definition:

Acute pancreatitis is an inflammation (irritation and swelling) of the pancreas. The pancreas is a long gland, located behind the stomach, that secretes digestive enzymes and the hormones insulin and glucagon.



Causes, incidence, and risk factors:

The chief causes of acute pancreatitis in adults are gallstones, other gallbladder (biliary) disease, and alcohol use. Other causes include:

  • Viral infection (mumps, coxsackie B, mycoplasma pneumonia, and campylobacter)
  • Traumatic injury
  • Pancreatic surgical procedures 
  • Common bile duct surgical procedures 
  • Certain medications (especially estrogens, corticosteroids, thiazide diuretics, and azathioprine) 

 Acute pancreatitis may also be caused by an abnormal structure of the pancreas, genetic factors (hereditary pancreatitis), high lipid levels in the blood (hypertriglyceridemia), and complications of cystic fibrosis.

The mechanism that causes pancreatitis is not well known. It is thought that enzymes normally secreted by the pancreas in an inactive form become activated inside the pancreas and start to digest the pancreatic tissue. This process is called autodigestion and causes swelling, hemorrhage, and damage to the blood vessels.

The disease affects men more often than women. Alcohol abuse is an important risk factor.

In children, this disorder may be associated with:




Review Date: 5/4/2006
Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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