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ALL / Gastroenterology
Acute pancreatitis: causes
Acute pancreatitis: causes
The vast majority of cases in the UK are caused by gallstones and alcohol.Popular mnemonic is GET SMASHED
- Gallstones
- Ethanol
- Trauma
- Steroids
- Mumps (other viruses include Coxsackie B)
- Autoimmune (e.g. polyarteritis nodosa), Ascaris infection
- Scorpion venom
- Hypertriglyceridaemia, Hyperchylomicronaemia, Hypercalcaemia, Hypothermia
- ERCP
- Drugs (azathioprine, mesalazine*, didanosine, bendroflumethiazide, furosemide, pentamidine, sodium valproate)


CT from a patient with acute pancreatitis. Note the diffuse parenchymal enlargement with oedema and indistinct margins.
*pancreatitis is 7 times more common in patients taking mesalazine than sulfasalazine
+PassMedicine Notes
The vast majority of cases in the UK are caused by gallstones and alcohol.
Popular mnemonic is GET SMASHED- Gallstones
- Ethanol
- Trauma
- Steroids
- Mumps (other viruses include Coxsackie B)
- Autoimmune (e.g. polyarteritis nodosa), Ascaris infection
- Scorpion venom
- Hypertriglyceridaemia, Hyperchylomicronaemia, Hypercalcaemia, Hypothermia
- ERCP
- Drugs (azathioprine, mesalazine*, didanosine, bendroflumethiazide, furosemide, pentamidine, sodium valproate)
*pancreatitis is 7 times more common in patients taking mesalazine than sulfasalazine
