Acute pancreatitis

35 year-old Indian women, in Germany since 2 years. Had severe upper abdominal pain for 12 hours.

Laboratory findings:

• leukocyte count 12.000
• CRP 30
• Calcium 1.6
• Lipase 460
• All other parameters within normal range.

Abdominal Ultrasound:

• Plenty free fluid

Laparoscopy:

• 2 litres of milky (chylous) Ascites in the entire abdomen