Pancreatic necrosum

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

One day history of bilious vomiting

Patient Data

Age: 50 years
Gender: Male
ultrasound

Mixed solid-cystic lesion noted abutting head of pancreas. It is in 'C' loop of duodenum, located anterior to the inferior vena cava. Appearances may represent pancreatic necrosis.

Case Discussion

Laparoscopic drainage performed:

  • histopathology: necrotic pancreatic tissue
  • biochemistry: high amylase level in the drained material

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