Acute pancreatitis

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Sudden onset of vague abdominal pain since yesterday with suspicious to renal colic.

Patient Data

Age: 40 years
Gender: Female
ct

CT shows swelling of pancreatic gland head, neck, and proximal of body portions associated peripancreatic inflammatory fat stranding and low attenuation retroperitoneal fluid surrounding the pancreas and extending into the duodenal portions.

Gallstones are not observed in this imaging modality. The liver, spleen, adrenals, and right kidney are within normal limits.

Case Discussion

The recent patient had a history of renal colic a month ago and referred with similar symptoms. Abdominal CT without contrast was done for ruling out of renal stone, but features of abdominal CT is consistent with acute pancreatitis.

CT scan has a critical role in confirming the clinical diagnosis of acute pancreatitis and evaluates its possible complications such as: necrosis, hemorrhage, infection, or vascular complications (such as a pseudoaneurysm) and intra- or peri-pancreatic collections. 

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