Pancreatitis urinary amylase 700U/L is due to pancreatitis resulting in the release of large amounts of amylase excreted in the urine. Pancreatitis urinary amylase 700U/L should be acute pancreatitis, chronic pancreatitis generally does not lead to increased urinary amylase, acute pancreatitis is a variety of reasons due to the pancreas’s own digestion led to pancreatic tissue edema, hemorrhage, necrosis and other inflammatory injuries. After acute pancreatitis pancreatic injury, the amylase in the pancreas is released into the blood circulation and can be excreted from the urine, thus patients may have elevated blood and urine amylase. Acute pancreatitis is usually characterized by acute severe abdominal pain, radiating back pain, nausea, and vomiting. Once there is a high suspicion of pancreatitis, it is important to seek prompt medical attention and active treatment under the guidance of a doctor.