Acute pancreatitis with peripancreatic fluid collection

Case contributed by Dr Vikas Shah

Presentation

1 day history of severe abdominal pain. Tender all over abdomen. History of recent excess alcohol consumption.

Patient Data

Age: 50 years
Gender: Male
CT

CT abdomen and pelvis

The pancreas is oedematous and surrounded by a large volume of free fluid, in keeping with acute pancreatitis. There is no definite hypoenhancing region in the pancreas to indicate necrosis. The portal and splenic veins are patent. The liver has a diffusely reduced density in keeping with fat infiltration. No gallstones identified. The free fluid tracks in the retroperitoneum towards the pelvis. Appearances elsewhere unremarkable.

Case Discussion

Acute peripancreatic fluid collections are seen in the first 4 weeks after onset of acute interstitial pancreatitis and are non-encapsulated. Following this period, encapsulated peripancreatic collections are identified and are classified as pseudocysts. Most acute peripancreatic fluid collections resolve spontaneously.

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Case information

rID: 56108
Case created: 11th Oct 2017
Last edited: 24th Oct 2017
Inclusion in quiz mode: Included

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