Acute pancreatitis

Case contributed by Assoc Prof Frank Gaillard


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

Patient Data

Age: 60 years
Gender: Female

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 visualized does not appear to be dilated. 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 fecal loading, bowel is unremarkable. No pneumoperitoneum.

Case Discussion

Features are typical of acute pancreatitis, secondary presumably to gallstones. 

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Case information

rID: 19136
Published: 10th Aug 2012
Last edited: 10th Jul 2020
Inclusion in quiz mode: Included