not-yet-known not-yet-known not-yet-known unknown Introduction. Acute Pancreatitis is a widespread condition, considered by health care professionals that impacts the pancreas and is regarded to be the most intricate disease of gastrointestinal tract. Diagnosing and treating diseases of this glandular organ is critical for maintaining well-being of digestive and endocrine system impacting the overall health of the body1. The cause of acute pancreatitis (AP) should be determined upon admission and is achieved through a comprehensive medical history, physical exam, lab tests, and imaging. Additionally, assessing risk factors and the patient’s response to initial treatment helps forecast the AP outcome2. This potentially life threatening condition typically triggered by factors such as alcohol use, gallstones, acute on chronic pancreatitis, or idiopathic cause. It can also occur as a complication following surgeries, particularly those involving the pancreas, including hepatobiliary, gastric surgeries, splenorenal shunts, splenectomies and certain cardiac procedures3-6. Research indicates that microlithiasis and sludge could be responsible for a large proportion of idiopathic acute pancreatitis (IAP). These small stones and sludge, particularly when located in the common bile duct, are often challenging to detect with transabdominal ultrasound. Consequently, patients initially diagnosed with IAP may actually have biliary pancreatitis. Lower the risk of recurrent acute pancreatitis, performing Laparoscopic/Open Cholecystectomy during the same hospital admission is recommended for cases of mild biliary pancreatitis7. Endoscopic retrograde cholangiopancreatography (ERCP) is associated with a 2-10% risk of post-ERCP pancreatitis (PEP), which can increase to 30-50% in high-risk individuals. In up to 5% of cases, PEP may become severe, leading to potentially fatal complications such as multi-organ failure, acute peripancreatic fluid collections, and, in rare instances, death, which occurs in about 1% of cases8. We are reporting the case after Laparoscopic cholecystectomy pancreatitis which is a very rare entity. Acute pancreatitis essentially requires the presence of at least two of the three mentioned criteria: (A) abdominal pain (More on epigastric region) characteristic of the condition, (B) Three folds elevation of serum amylase and/or lipase, and (C) typical results from abdominal radiological studies9. Serum pancreatic enzymes are considered the most reliable method for diagnosing acute pancreatitis10.
