Acute pancreatitis (MRCP)

Case contributed by Mohamed AbdelBar
Diagnosis almost certain

Presentation

Abdominal pain, and jaundice

Patient Data

Age: 70 years
Gender: Male

MRCP

mri

Bulky edematous appearance of the pancreas with minimal amount of related peri-pancreatic fluid. Also, mild amount of fluid seen in the left anterior para-nephric space.

Minimal bilateral pleural effusion.

Multiple gallbladder stones are noted.

Average caliber of CBD with no IHBR dilatation. 

Case Discussion

This case presented to do MRCP and after the case was diagnosed as acute pancreatitis the advice was to correlate imaging findings with the clinical status, laboratory findings (S.Amylase and S.Lipase,..) and to do CT for severity assessment (CTSI, CT severity index in acute pancreatitis) and for detection of other possible complications.

Although, no currently detected stones as a cause of the current acute pancreatitis, this patient maybe a stone passer and should go for cholecystectomy after the appropriate treatment for pancreatitis.

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