Walled-off pancreatic necrosis

Case contributed by Dr Abdulmajid Bawazeer

Presentation

The patient complains of recurrent epigastric pain with history of previous necrotizing pancreatitis 6 weeks ago.

Patient Data

Age: 40 years
Gender: Female
CT

Well defined peripherally-enhancing collection with internal heterogeneous component replacing the tail and body of pancreas, sparing the uncinate process with no calcification and no vascular pseudoaneurysm.
No CBD or intrahepatic biliary tree dilatation.
Fatty liver infiltration is noted.

Case Discussion

Proven by surgical resection to be walled-off pancreatic necrosis. The history of necrotizing pancreatitis 6 weeks ago and radiological features also support the diagnosis.
Differential diagnosis includes pancreatic pseudocyst and pancreatic neoplasm.   

PlayAdd to Share

Case information

rID: 78474
Published: 14th Jun 2020
Last edited: 14th Jun 2020
Inclusion in quiz mode: Included
Institution: The Islamic Hospital

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.