Question 91 · LEK · Acute pancreatitis
A 35-year-old patient was admitted to the surgical ward with the diagnosis of acute pancreatitis in the course of alcohol use disorder. The patient complains of epigastric pain and vomiting. In the imaging studies cholelithiasis has been excluded, and acute edematous pancreatitis has been confirmed without any pathological cysts in the pancreatic area. There are no signs of cholangitis and inflammatory markers are low. Indicate the correct management:
- A. urgent laparotomy and a drainage of the peritoneal cavity.
- B. discharge after 24 hour observation.
- C. conservative treatment until the normalization of laboratory test results and the relief of symptoms.
- D. laparoscopic cholecystectomy.
- E. ERCP or MRCP.
Hint
Mild edematous pancreatitis without gallstones, collections or cholangitis: ask whether any intervention is indicated at all.
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