In this study, pancreatic necrosis was reported in 9% of cases which was more than the 4.6% reported by Fonseca Sepúlveda and Guerrero-Lozano.14 This study also shows that pancreatic necrosis may occur with variable aetiological associations in agreement with Raizner et al. 15 Transient hyperglycaemia is quite frequent in children with AP, with six requiring insulin therapy in hospital. Here, INS is linked to alkaline phosphatase measurement.