Acute pancreatitis

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Sudden severe epigastric pain, radiates to the back.

Patient Data

Age: 50 years.
Gender: Male
CT

The pancreas is swollen with smoothing of its contour. The pancreas shows non-enhancing confluent areas and intraparenchymal fluid in the neck and body of the pancreas. Fluid is also seen around the pancreas. Small volume ascites in the perihepatic space and the pelvis.The intrahepatic ducts and CBD are minimally dilated.The gall bladder shows wall enhancement. Suspicion of an air locule in the retroperitoneum behind the pancreas between the SMA and aorta, possibly from a perforated duodenum.

Case Discussion

In view of the clinical context, with increased serum lipase, and the radiological findings, acute necrotic pancreatitis likely.

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Case information

rID: 54947
Case created: 9th Aug 2017
Last edited: 20th Aug 2017
Inclusion in quiz mode: Included

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