Acute pancreatitis is an inflammatory disease characterized by local tissue injury which can trigger a systemic inflammatory response. Vascular complications of pancreatitis are a major cause of morbidity and mortality. Pulmonary embolism in acute pancreatitis has been reported to be very rare. Cardiovascular complications include shock, hypovolemia, pericardial effusion, and even nonspecific ST-T changes in the electrocardiogram (ECG) mimicking acute myocardial infarction. Acute pancreatitis complicated with acute myocardial infarction has rarely been reported and the precise mechanisms of myocardial injury remain unclear. Here we report two cases of acute pancreatitis one with acute pulmonary thrombo embolism and other with acute myocardial injury.
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