In Nov of 2011, I went to ER complaining of blood in stools,but
completely asymptomatic. I did not experience any nausea, pain, or
diarrhea. Blood test lipase levels were at 1700 (ref 73-393), I was
then admitted me to hospital. Abdominal Ultrasound, CT scan with and
without contrast were normal. Day 2 lipase went to 1055 (ref 73-393).
I was finally released since on day 3. My discharge papers said Acute
Pancreatitis. Not sure if I have an issue with high lipase or
Since then I tested to see if I had celiac disease, h ploryi, ulcers
and all came back normal. CBC test are normal along with diabetes and
1700 (ref 73-393)
1055 (ref 73-393)
38 (0-58 u/l)
25 (0-58 u/l)
58 (0-58 u/l)
62 (0-58 u/l) HIGH
-Truly an isolated incident
-Early onset of CP from HP. However I have no family members in any
generation with pancreatitis. However usually HP presents itself at an
early age around 10-20 with eveidence on scans most of the time.
-Small biliary sludge not seen in scans
-Acute pancreatitis from 3 beers. I only drink a few times a year.
Gastro thought I was covering something up.
More possibilities below:
Idiopathic pancreatitis under age 40
Extensive or invasive evaluation is usually not recommended in those
with a single episode of pancreatitis who are younger than 40 but some
reports recommend endoscopic ultrasound (EUS) even after one attack if
the cause is not clear to look for pancreatic ductal abnormalities,
small tumors at or near the ampulla, microlithiasis in the gallbladder
or bile duct, and early chronic pancreatitis. Undiagnosed early
chronic pancreatitis may, in fact, be a very common cause of
"idiopathic recurrent acute pancreatitis". Endoscopic retrograde
cholangiopancreatography (ERCP) should not be performed after a single
episode of acute pancreatitis in the absence of laboratory or imaging
evidence of choledocholithiasis. http://www.uptodate.com/
BACKGROUND In about 20 to 40 percent of cases of acute pancreatitis,
no cause can be found, and these are labeled idiopathic. In this
study, we sought to determine the frequency with which patients with
acute idiopathic pancreatitis have biliary sludge, a suspension of
cholesterol monohydrate crystals or calcium bilirubinate granules that
is found predominantly in the gallbladder. METHODS Between 1980 and
1988, we prospectively studied 86 patients who had acute pancreatitis.
In patients with no known cause of pancreatitis and no
ultrasonographic evidence of gallstones or dilatation of the biliary
ducts, we determined how often biliary sludge was present and its
subsequent fate by repeated microscopical examinations of bile samples
and abdominal ultrasonography.http://www.ncbi.nlm.nih.gov/pubmed/9193774
Anyone have any ideas of what could be going on? My gastro and primary
doc refuses to send me for EUS or any other test.