Infected necrotising pancreatitis

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Severe abdominal pain and amylase raising.

Patient Data

Age: 70
Gender: Male

Mesenteric and  peripancreatic fat stranding and small loculated fluid collections are seen with loss of enhancement at pancreatic body and tail in the post contrast images . Gas also is noted at the non enhancing section of pancreas . 

Density of liver is low due to fatty liver. Delayed excretion of contrast from kidneys is seen. Bilaterally pleural and pericardial effusion are also noted . 

Case Discussion

These findings are consistent necrotising pancreatitis.

Gas also is noted at the non enhancing section of pancreas in favour of infected necrosis. Delayed excretion of contrast from kidneys probably is secondary to nephropathy due to severe pancreatitis .

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Case information

rID: 20863
Case created: 17th Dec 2012
Last edited: 11th Feb 2016
Inclusion in quiz mode: Included

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