Acute pancreatitis

Case contributed by David Puyó


Abdominal pain

Patient Data

Age: 20 years
Gender: Female

CT Abdomen y Pelvis


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

The gallbladder is suboptimally seen, but there is suspicion of stone in its neck. A gallbladder 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 atelectasis. 

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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