Necrotising pancreatitis

Case contributed by Dr David Cuete

Presentation

Abdominal pain

Patient Data

Age: 17
Gender: Female
CT

CT abdomen and pelvis

The pancreas is swollen and the majority of the parenchyma is non-enhancing. Only a small amount of normally enhancing parenchyma is seen in the region of the pancreatic head. It displayed a marked dilatation of the common bile duct

Case Discussion

CT  reveals non-enhancement of pancreatic body and tail, indicating pancreatic necrosis.  

The chief role of CT imaging in acute pancreatitis is to look for complications and hence imaging advised 48-72 hours after presentation.  If the clinical information permits, a multi-phase pancreatic study is recommended to best illustrate necrosis, in addition to other potential complications, such as: peri-pancreatic collection, abscess and pseudoaneurysm.

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Case information

rID: 23001
Case created: 12th May 2013
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

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