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Acute Pancreatitis entails a wide spectrum of disease from mid self-limiting symptom complex to severe form of fulminant process which may lead to multi organ failure which makes even modern science helpless. Acute Pancreatitis is fairly common and lethal condition, often associated with one or more complications in varying degree; demanding high index of suspicion, early diagnosis and aggressive individualized management, if morbidity and mortality has to be lowered. The need of highly individualized treatment for the patients of acute pancreatitis and the possibility of rapid deterioration makes it imperative to find out at the earliest which patient is most prone for the development of possible morbidity and mortality.