Acute pancreatitis

Case contributed by Dr David Puebla

Presentation

Abdominal pain

Patient Data

Age: 20
Gender: Female
CT

CT Abdomen y Pelvis

Pancreatic swelling and peripancreatic stranding, extending to the left pararenal space (thickened Gerota's fascia). Pancreas is enhancing homogeneously, no signs of necrosis on CT. No pancreatic duct dilatation. 

GB is suboptimally seen, but there is suspicion of stone in its neck. GB ultrasound scan is suggested. No evidence of biliary dilatation. 

No evidence of walled-off collection. 

Portal, splenic and SMV are opacified normally. No evidence of splenic artery pseudoaneurysm. 

Minimal left sided pleural effusion and associated basal atelectesis. 

Interpretation: Features of acute pancreatitis. 

Case Discussion

This case shows an acute pancreatitis with peripancreatic edema, inflammation without pancreatic necrosis and abnormal peripancreatic fat, probably secondary to a biliary pathology. 

 

PlayAdd to Share

Case information

rID: 22434
Case created: 31st Mar 2013
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.