Acute interstitial edematous pancreatitis

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain


3 day history of progressively worsening epigastric pain, radiating all over the abdomen. 10/10 pain despite IV morphine. Lipase 3000. Likely alcoholic pancreatitis.

Patient Data

Age: 30 years
Gender: Female

Moderate free fluid in the peripancreatic region, para-colic gutters (R>L) and root of mesentery. Pancreas appears edematous and enlarged. No evidence of parenchymal necrosis or any vascular complications. No visible gallstones.

Appearances are consistent with acute diffuse edematous interstitial pancreatitis (CTSI score - 4). 

Case Discussion

Young patient with short duration of severe central upper abdominal abdominal pain diagnosed with acute pancreatitis without any major complications such as necrosis or other vascular complications. The patient's lab parameters were also corresponding. The patient was managed conservatively to recover completely without any complications.

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