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Gallstone pancreatitis — RACP Written MCQ

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HardGastroenterology/HepatologyGallstone pancreatitisRACP Written

A 46-year-old woman has epigastric pain radiating to the back and vomiting. Lipase is 1,200 U/L, ALT is 260 U/L and ultrasound shows gallstones without common bile duct dilatation. She is afebrile and bilirubin is normal. What is the most likely cause?

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Correct answer: BGallstone pancreatitis

Marked lipase elevation with gallstones and an early ALT rise strongly suggests gallstone pancreatitis even without persistent duct dilatation.

Reference: Therapeutic Guidelines: Gastrointestinal; Gastroenterological Society of Australia guidance