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The most common causes behind an inflamed pancreas are prolonged alcohol abuse and gallstones. Some hereditary disorders can cause pancreatitis, as can certain medications and viruses. When pancreatitis is caused by medication and viruses, it is usually an acute attack and rarely long-lived.
Pancreatic ascites can be seen in people with chronic (long standing) pancreatitis or inflammation of the pancreas. The most common cause of chronic pancreatitis is prolonged alcohol abuse. Pancreatic ascites can also be caused by acute pancreatitis as well as trauma to the pancreas.