Focal acute pancreatitis

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain.

Patient Data

Age: 60 years
Gender: Male
ct

The pancreas is enlarged, particularly at the body and tail, accompanied by surrounding fat stranding. No peripancreatic fluid accumulation or evidence of parenchymal necrosis is noted in the current study.

The prostate gland is enlarged. 

Mild degenerative changes as osteophytosis are seen at the lumbar spine.
Grade I spondylolisthesis of L5 on S1 is present with bilateral spondylolysis.

Case Discussion

Features on CT scan in correlation with physical exam findings and elevated amylase and lipase tests, suggestive of focal acute pancreatitis.

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