Necrotising pancreatitis: acute necrotic collection maturing into walled-off pancreatic necrosis

Case contributed by Dr Andrew Dixon

Presentation

Abdominal pain.

Patient Data

Age: 35
Gender: Male

Acute pancreatitis is with pancreatic oedema with large non enhancing parenchymal areas (necrotic), peripancreatic fluid (ANC) and fluid tracking within the anterior pararenal space.

Pancreatic parenchyma is replaced by large pancreatic and peripanreatic encapsulated collections with areas of haemorrhage. 

Case Discussion

This collection makes the criteria for an acute necrotic collection and walled-off pancreatic necrosis as a complication of "necrotizing pancreatitis". It is not to be confused with pseudocyst, which occurs later than 4 weeks following pancreatitis and is more uniformly round with enhancing margins.

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Case Information

rID: 9602
Case created: 3rd May 2010
Last edited: 27th Apr 2016
Inclusion in quiz mode: Included

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