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Acute pancreatitis

Case contributed by: Dr Frank Gaillard

Presentation:

Abdominal pain, nausea and vomiting. History of laparotomy 20 years ago.

Patient Data:

Age: 60 years

Gender: Female

Race: Caucasian

From the case: Acute pancreatitis

Modality: CT

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C+ portal venous phase

Peripancreatic inflammatory fat stranding as well is a moderate volume of retroperitoneal free fluid. A small amount of mesenteric and perihepatic fluid is also demonstrated. The gallbladder is distended, with multiple radioopaque gall stones. No pancreatic lesion is detected. No evidence of pancreatic necrosis. The common bile duct is visualised is not appear to noted. No intrahepatic bile duct dilatation. No evidence of a pseudoaneurysm, splenic or portal vein thrombosis. The liver, spleen, adrenals and right kidney are within normal limits. The left kidney is atrophic, with evidence of cortical scarring. No hydronephrosis. Apart from colonic faecal loading, bowel is unremarkable. No pneumoperitoneum.