Acute pancreatitis: mild

Case contributed by Dr Henry Knipe

Presentation

Three days increasing abdominal and back pain; nausea and fevers.

Patient Data

Age: 35
Gender: Male
CT

Abdomen (pancreatitis protocol)

Pancreas is oedematous with mild surrounding fat stranding. There was no evidence of complication. Adjacent small bowel is thick walled, likely reactive.

Fatty liver. Hyperdense region at the gallbladder fossa may represent focal fatty sparing. Adrenal glands and spleen have a normal appearance. More than 10 renal stones are demonstrated in the right kidney and more than five renal stones are present in the left kidney; the largest is at the left superior pole and measures 7 mm. The kidneys have an otherwise normal appearance.

Case Discussion

Findings are consistent with mild (uncomplicated) pancreatitis. Incidental note of fatty liver (hepatic steatosis) and renal calculi. In this case, the lipase was elevated at 848. 

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Case information

rID: 27796
Case created: 20th Feb 2014
Last edited: 7th Apr 2016
Inclusion in quiz mode: Included

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