Acute pancreatitis in a pregnant patient
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).
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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.
Acute pancreatitis is considered as one of the gastrointestinal manifestations of the systemic lupus erythematosus as in this case.
Additional contributor: R. Bouguelaa, MD