An Unusual Presentation of Weil's Disease.

Leptospirosis is a potentially fatal disease which can cause multi-organ dysfunction. It can have different rare presentations. Acute pancreatitis is one such rare gastrointestinal manifestation which present as an acute abdomen. Simultaneous presence of features of both acute pancreatitis and acute hyponatremia in a case of Weil's disease characterised by combination of jaundice, acute kidney injury, hypotension and hemorrhagic manifestation is very rare. © Journal of the Association of Physicians of India 2011.