“…Moreover, pancreatic histological changes have been documented in 38% to 53% of postmortem pathological examinations (7)(8)(9)(10)(11)(12). Pancreatitis associated with IBD has mostly been thought to be caused by drugs used to treat IBD (4,13,14), biliary lithiasis (15), duodenal involvement of Crohn disease (CD) (16,17), or sclerosing cholangitis (18). There are only a few case reports, mainly in adults (6,19), describing AP as the first presenting clinical feature of IBD.…”