Obstructive / Mechanical
- Gall stones (50%) (1)
- Malignancy: (1)
- Pancreatic ductal carcinoma
- Ampullary carcinoma
- Islet cell tumour
- Sarcoma
- Lymphoma
- ERCP (5% of procedures) (1)
- Trauma
- Penetrating duodenal ulcer
- Congenital abnormalities
- Cystic fibrosis
Parenchymal
- Alcohol (20%) (1)
- Autoimmune / vasculitic disease
- Scorpion stings
Systemic
- Hypoxemia / ischaemia (1)
- Drugs (1)
- Hypothermia
- Hypercalcemia (1)
- Hypertriglyceridemia (>20mmol/L) (1)
- Viruses (Mumps, HIV, CMV, EBV) (1)
- Other infections