Normal Lipase Pancreatitis: A Case Report

Bouaiyda Ayoub,Ababou M,Chouikh C,Zidouh S,Belyamani L,Jeddab A

doi:10.31579/2690-4861/195

Abstract

Acute pancreatitis is a serious and potentially fatal condition, caused by the pancreas self-digesting with its own accidentally activated enzymes. its diagnosis is based on a combination of clinical, biological and radiological evidence. The absence of lipase elevation during acute pancreatitis is extremely rare and can sometimes make the diagnosis difficult and therefore delay the treatment. We will report the case of a 27-year-old female patient, with no previous history of the disease, who consulted us for acute abdominal pain, and whose diagnosis, after an etiological investigation, was pancreatitis with normal lipase levels.

Highlights

Acute pancreatitis is an autodigestion of the pancreas by its own accidentally activated enzymes
We’re here to report the case of a 27 years old woman, who presented to the emergency department with acute abdominal pain and was later diagnosed with pancreatitis with normal lipase
The diagnosis of pancreatitis with normal lipase was retained, the patient was initially given a filling, analgesic treatment, with temporary cessation of oral feeding as long as she could not tolerate it, she was transferred to the gastroenterology department for further management

Summary

Introduction

Acute pancreatitis is an autodigestion of the pancreas by its own accidentally activated enzymes It is accompanied by an increase in the serum level of pancreatic enzymes, lipase. The most frequent causes are alcohol, vesicular lithiasis, hypertriglyceridaemia, hypercalcaemia, endoscopic retrograde cholangiopancreatography and trauma It can be idiopathic in 20% of cases [2]. We’re here to report the case of a 27 years old woman, who presented to the emergency department with acute abdominal pain and was later diagnosed with pancreatitis with normal lipase. The diagnosis of pancreatitis with normal lipase was retained, the patient was initially given a filling, analgesic treatment, with temporary cessation of oral feeding as long as she could not tolerate it, she was transferred to the gastroenterology department for further management.

Discussion

Findings

Conclusion