Interstitial edematous pancreatitis

Case contributed by Michael P Hartung
Diagnosis almost certain


Abdominal pain, elevated lipase.

Patient Data

Gender: Male

Mildly prominent pancreatic duct. Stranding and unorganized fluid about the pancreas. Pancreas enhances symmetrically. Portal, splenic, SMV patent. Calcifications over pancreatic body are related to splenic artery. 

Small effusions and basilar atelectasis. Fluid in esophagus raises possibility of aspiration. 

Mild enhancement of CBD likely inflammatory. 

Large right indirect inguinal hernia containing ascites. 

Case Discussion

Typical imaging findings of acute interstitial edematous pancreatitis with acute peripancreatic fluid collections/stranding. No abscess, gallstones, or vascular complication. 

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