486 Spontaneous haemoperitoneum due to acute hemorrhagic pancreatitis in a child: A Case report

Abstract Introduction Hemoperitoneum resulting from acute pancreatitis (AP) is rare. It more commonly associated with chronic pancreatitis. Seldom, it has been paediatric population. Here we report a case of spontaneous hemoperitoneum due to hemorrhagic in child presented the clinical features suggestive appendicitis. Presentation A- 9-year-old girl abdominal pain and consistent perforated appendicitis, underwent diagnostic laparoscopy. This revealed fat saponification omentum around splenic flexure. She was stable postoperatively transferred tertiary unit for further management. Discussion The incidence AP increasing at 1/10,000 children per year. definition based on Atlanta criteria adults. Biliary condition, systemic illness, medications remain main causes children. Intravenous fluid therapy crystalloids remains mainstay treatment. Conclusions A high index suspicion required reach diagnosis as symptoms are comprised pain, irritability, nausea, vomiting, epigastric pain. USS investigation choice. Majority patient recovers completely recurrence reported only 15-35% cases. Key Statement Inclusion amylase or lipase be considered routine workup if there an alternate diagnosis. Diagnostic laparoscopy viable option patients peritonism establish