Acute pancreatitis with persistent vomiting and hypocalcemia

A boy of 10 years presented with fever and abdominal pain for 15 days. Then he developed vomiting which was persistent in nature. On evaluating the patient, ultrasonography showed uniformly echogenic swollen pancreas suggestive of Panacreatitis. The patient serum amylase was found normal but urine amylase was highly elevated. The patient also had neutrophilic leucocytosis. At one stage, pt developed muscle spasm of the hands and neck. Serum calcium was found decreased.
The patient was a case of Acute Pancreatitis with persistent vomiting with hypocalcimia.
The patient was treated conservatively with nothing by mouth, infusion, parenteral antibiotic and calcium. The patient was improved and discharged .