Abstract
Acute hemorrhagic pancreatitis is a well known clinical entity, 1-3 but rare in the pediatric age group. The signs and symptoms are nonspecific and resemble those found in many common systemic and abdominal diseases. 3 This illness is characterized by increased serum and urinary amylase and hyperglycemia; however, serum amylase is increased in only about 65% of cases, 4 and either hyper- or hypoglycemia may occur. 3,5 In adults, severe electrolyte disturbances and various associated electrocardiographic changes have been described. 6-8 This is a report of a 10-year-old girl with acute hemorrhagic pancreatitis associated with severe persistent electrolyte disturbances and electrocardiographic changes. Since Edmonson and Berne 9 emphasized the significance of hypocalcemia accompanying pancreatitis, the serum calcium level has been a point of special interest in adults. 10 Among 75 cases of acute and chronic pancreatitis reported in the pediatric literature since 1944, 1,2,5,11-26 in only 11 were calcium levels
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