Presentation
Severe epigastric pain and tenderness
Patient Data
Age: 55 years
Gender: Female
From the case:
Acute pancreatitis with acute necrotic collections
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There is pancreatic edema, but no pancreatic necrosis seen.
There are infiltrative peripancreatic fluid collections, but they are not walled off. No discrete peripancreatic fluid collection.
Case Discussion
The case represent typical features of acute pancreatitis. The stranding around the pancreas represents either acute peripancreatic fluid collections (APFC) or acute necrotic collections (ANC), favoring the latter given the degree of inflammation of the peripancreatic fat, although a follow up exam four weeks after the onset of symptoms would be needed to see whether the collections transformed into pseudocysts or walled off necrosis (WON).
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