Acute pancreatitis

Case contributed by David Puyó


Abdominal pain

Patient Data

Age: 20
Gender: Female

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. 


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Case information

rID: 22434
Published: 31st Mar 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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