Pancreatitis

Pancreatitis is not common in childhood. The most common cause is abdominal trauma. It can also occur as an idiopathic or postviral process (mumps, influenza, coxsackie, etc.) or be due to drugs or toxins. Systemic diseases such as cystic fibrosis, systemic lupus erythematous and a -,-antitrypsin deficiency can cause pancreatitis.13

Clinical findings include central abdominal pain, vomiting and, sometimes, fever. The abdomen may be distended and is tender to palpation. Patients should receive fluids to correct dehydration and any hypovolemia and receive appropriate pain management. Most of the children will need to be admitted for intravenous hydration, pain management, and diagnostic studies.

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