A cross sectional comparative analytical study in prospective pattern had been carried out in Gastroenterlogy and Hepatology teaching hospital and medical city/ Baghdad/ Iraq. The data collection phase extend over a period of 26 months from 1/1/2016 to 28/2/2018, it includes the attendants to Gastroenterlogy and Hepatology teaching hospital with acute pancreatitis (Acute interstitial and acute necrotizing pancreatitis), SPSS version 23 was used for statistical analysis, A
p-value < 0.05 was considered statistically significant. This study including 33 cases of different types of acute pancreatitis complications, with mean age of 37±12 years old age, nearly equal gender distribution, 6 case are APPFCs all of them treated conservatively; 17 cases are pseudocysts in which 2 of them treated endoscopically, 5 cases treated conservatively, and10 cases treated surgically; 4 cases are ANCs in which 2 of them treated conservatively and other 2 treated surgically;6 cases are WON in which all of them treated surgically.