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Note: I am fully aware of acute obstructive Pancreatitis and chronic
recurrent pancreatitis. But, if obstruction is entirely ruled out by all tests,
including E.R.C.P., etc., and no abnormal common bile duct-pancreatic duct reflux could be demonstrated, then isn't it possible that the classical
symptoms and elevated amylase and lipase studies could possibly be due
to a Viral Pancreatitis? Further Note: The patient had a cholecystectomy
many years prior to present complaints.
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Hello Anon
Thank you for writing.
According to the US National Library of Medicine National Institutes of Health:
A wide variety of infectious agents has been associated with acute pancreatitis. Strict diagnostic criteria were developed to assess with relationship between individual microorganisms and acute pancreatitis. Pathologic or radiologic evidence of pancreatitis associated with well-documented infection was noted with viruses (mumps, coxsackie, hepatitis B, cytomegalovirus, varicella-zoster virus, herpes simplex virus), bacteria (Mycoplasma, Legionella, Leptospira, Salmonella), fungi (Aspergillus), and parasites (Toxoplasma, Cryptosporidium, Ascaris). Clues to the infectious nature of pancreatitis lay in the characteristic signs and symptoms associated with the particular infectious agent. How often these agents are responsible for idiopathic pancreatitis is unclear.
https://www.ncbi.nlm.nih.gov/pubmed/8899796
February 23, 2018 - 5:25amBest,
Susan
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