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Acute pancreatitis is a potentially life-threatening condition that can arise from various aetiologies, including medications, infections, obstructive processes, trauma, systemic diseases or remain idiopathic. Timely and accurate diagnosis, particularly identification of precipitating factors, is essential for effective management. The INSPPIRE (International Study Group of Paediatric Pancreatitis) criteria offer a comprehensive approach to diagnosing and evaluating potential causes. Core management strategies, encompassing fluid resuscitation, pain control, nutritional support and judicious use of antimicrobial agents, are fundamental in minimising unnecessary interventions and optimising patient outcomes, ultimately reducing hospital length of stay. In cases of recurrent acute pancreatitis, further investigation can help identify underlying medical conditions and guide appropriate treatment.