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Capítulo 3. 4. Pancreatitis aguda 9. DIAGNOSTICO DIFERENCIAL El cuadro de dolor abdominal agudo plantea el diagnóstico diferencial con ulcus gástrico perforado en páncreas, colecistitis, isquemia mesentérica. En los raros casos que la clínica y las técnicas de imagen no orientan claramente hacia el diagnóstico de pancreatitis, puede realizarse una laparotomía exploradora.