Presentation
Acute onset of severe epigastric pain in a pregnant patient at 25 weeks. Known case of systemic lupus erythematosus (SLE). Amylasaemia (1012 UI/L), lipasaemia (789 UI/L).
Patient Data
The pancreas is diffusely enlarged mainly in its corporeocaudal region with indistinct margins. It shows a homogeneous increase signal on T2WI with no areas of parenchymal necrosis.
Peripancreatic and left anterior pararenal fluid collections are noted (the largest measures 33 x 14 mm).
The gallbladder is anechoic with normal size and wall thickness. The Intra-and extrahepatic biliary ducts are not dilated. No CBD stone was seen.
Case Discussion
Case showing acute pancreatitis with peripancreatic fluid collections, without pancreatic necrosis in a pregnant patient at 25 weeks gestation with a history of systemic lupus erythematosus (SLE).
Acute pancreatitis is considered as one of the gastrointestinal manifestations of the systemic lupus erythematosus as in this case.
Additional contributor: R. Bouguelaa, MD