Pseudopancreatitis

Last revised by Jeremy Jones on 20 Sep 2021

Citation, DOI, disclosures and article data

Citation:

Hacking C, Jones J, Bell D, et al. Pseudopancreatitis. Reference article, Radiopaedia.org (Accessed on 16 Apr 2024) https://doi.org/10.53347/rID-51640

DOI:

https://doi.org/10.53347/rID-51640

Permalink:

https://radiopaedia.org/articles/51640

rID:

51640

Article created:

1 Mar 2017, Craig Hacking ◉ ◈

Disclosures:

At the time the article was created Craig Hacking had no recorded disclosures.

View Craig Hacking's current disclosures

Last revised:

20 Sep 2021, Jeremy Jones ◉

Disclosures:

At the time the article was last revised Jeremy Jones had no recorded disclosures.

View Jeremy Jones's current disclosures

Revisions:

5 times, by 5 contributors - see full revision history and disclosures

Systems:

Gastrointestinal, Hepatobiliary, Trauma

Tags:

cases

Pseudopancreatitis refers to the presence of fluid in or around the pancreas in the setting of trauma but in the absence of direct signs of traumatic pancreatic injury. Most patients will have a normal serum lipase level, but amylase has a limited sensitivity and specificity for pancreatic trauma ³.

It is thought to be secondary to aggressive fluid resuscitation of hypovolemic shock following potential trauma-related pancreatic ischemia ², particularly when the time between the injury and cross-sectional imaging is prolonged ¹. Hence it is associated with other signs of resuscitation of hypotension namely periportal edema, a dilated inferior vena cava and small bowel edema.