Acute pancreatitis with normal amylase and lipase levels

Acute pancreatitis (ap) is caused most commonly by various biliary tract diseases or heavy alcohol intake. the diagnosis is most commonly based upon characteristic history of acute abdomen accompanied with rise in levels of pancreatic enzymes namely amylase and lipase in serum. imaging,particularly computed tomography (ct scan) is the investigation of choice to make a definitive diagnosis. however,the rise in serum pancreatic enzyme levels is not an absolute criterion to diagnose ap. we are reporting one such case of a young female who presented with acute abdomen,had normal pancreatic enzyme levels,but was detected to be suffering from ap on ct scan of abdomen. © 2017,postgraduate medical institute. all rights reserved.