Abstract
Background: Recurrent acute pancreatitis (RAP) is defined as episodes of acute pancreatitis with complete clinical and anatomical resolution between each episode. The etiology is diverse in children (20-35% unknown).
Objective: Analyze the etiology, diagnosis and most appropriate screening of RAP in children.
Case-report: A 9 year-old boy with 6 episodes of acute pancreatitis (AP); 4 of them required hospital admission. The study included a normal colangiopancreatography, normal basic immunologic and metabolic exams and negative genetic assessment of the cystic fibrosis´ most common mutation. During the episodes of AP, 3 computed tomography images were obtained and showed AP in different degrees (Baltasar C and E). Genetic testing for hereditary pancreatitis was negative. Laparoscopic colecistectomy was performed.
Conclusion: RAP must be suspected in children with recurrent abdominal pain and elevated serum amylase-lipase concentration, in order to initiate an adequate evaluation.
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