Acute pancreatitis with acute necrotic collections

Case contributed by Dr. Mohammad Saboor Rastin

Presentation

Severe epigastric pain and tenderness

Patient Data

Age: 55 years
Gender: Female

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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