Management of acute pancreatitis in pregnancy is based on expert opinion only, due to geographic and ethic variations. Nonbiliary causes should be sought as they are associated with worse outcomes. Alcohol as a cause of acute pancreatitis is not rare. Hemoconcentration as a marker of fluid deficit and severity should be predicted with caution and fluid resuscitation should be done carefully by closely monitoring the central venous pres sure, cardiac and respiratory system. Hypercalcemia of hyperparathyroidism may be falsely lowered due to hy poalbuminemia or suppressed by magnesium tocolysis.