Presentation
Upper abdominal pain for four days, becoming more severe within the last two days, dull aching and radiating to the back. Serum amylase was 3194 U/L.
Patient Data
Edematous entire pancreas accompanied by moderate fat stranding and peripancreatic fluid. No necrotic areas, vascular insults, or peri-pancreatic localized collections.
Mild intra-peritoneal free fluid.
Bilateral minimal pleural effusions with basal pulmonary aspirations.
Two isodense gallbladder stones. Average-caliber common bile duct.
Diagnosis: acute interstitial pancreatitis, moderate in severity according to modified CTSI (4 points: 2 for pancreatic inflammation and 2 for ascites & pleural effusion), in a patient with calcular gallbladder.
Case Discussion
Two of the following three criteria are required for the diagnosis:
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