Acute pancreatitis: Balthazar C

Case contributed by Dr Bernardo Jose Meza

Presentation

History of severe epigastric pain that radiates through to the back and elevation of amylase and lipase.

Patient Data

Age: 58
Gender: Male

CT Abdomen

Modality: CT

CT show diffuse parenchymal enlargement secundary to inflammatory changes, also infiltration of peripancreatic fat and small to moderate amount of peripancreatic fluid.

CT study also show bilateral pleural effusion.

Case Discussion

According to Balthazar Score used in CT Severity Index (CTSI), the evidence of inflammatory changes in pancreas and peripancreatic fat would suggest a grade C pancreatitis. This would represent a mild pancreatitis (interstitial pancreatitis), which has no pancreatic or extrapancreatic necrosis.

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Case Information

rID: 32840
Case created: 18th Dec 2014
Last edited: 24th Oct 2015
Inclusion in quiz mode: Included

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