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The test can show gallstones and the extent of damage to the pancreas. Occasionally, blood tests, such as a test for IgG4 to assess for autoimmune pancreatitis, can be used to help diagnose the cause of chronic pancreatitis. However, blood tests are not typically used to make the diagnosis of chronic pancreatitis.
Therefore, normal lipase level in the setting of acute abdominal pain is often used to rule out a diagnosis of acute pancreatitis. Our patient was admitted with a clinical picture and radiographic findings consistent with acute pancreatitis despite normal lipase and amylase levels throughout the hospital course. In the case of our patient, the etiology of acute pancreatis was hypertriglyceridemia.