ACUTE PANCREATITIS WITH NORMAL AMYLASE AND LIPASE LEVELS

Abstract

Acute pancreatitis (AP) is caused most commonly by various biliary tract diseases
or heavy alcohol intake. The diagnosis is most commonly based upon
characteristic history of acute abdomen accompanied with rise in levels of
pancreatic enzymes namely amylase and lipase in serum. Imaging, particularly
computed tomography (CT scan) is the investigation of choice to make a definitive
diagnosis. However, the rise in serum pancreatic enzyme levels is not an
absolute criterion to diagnose AP. We are reporting one such case of a young
female who presented with acute abdomen, had normal pancreatic enzyme
levels, but was detected to be suffering from AP on CT scan of abdomen.