Acute pancreatitis

Acute pancreatitis35 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