Acute pancreatitis

Case contributed by Dr Bahman Rasuli

Presentation

Sudden onset abdominal pain.

Patient Data

Age: 35 years
Gender: Female
CT

CT shows swelling of the pancreatic gland associated with peripancreatic inflammatory fat stranding and low attenuation retroperitoneal fluid surrounding the pancreas and extending into the duodenal portions, paracolic gutters especially on the right side, and pelvic cavity.

Bilateral moderate pleural effusions and lower lobes collapse consolidations are seen.

Gallstones are not observed in this imaging modality. 

The liver, spleen, adrenals, and right kidney are within normal limits.

Case Discussion

The diagnosis of acute pancreatitis was confirmed biochemically with markedly elevated lipase. 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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