From the case: Pancreatic necrosis secondary to haemolytic uraemic syndrome
Oral and IV Contrast CT Performed
Axial C+ portal venous phase
Arrows with descriptions: Figure 1: Coronoal post contrast CT demonstrates a small pleural effusion (blue arrow), free intraperitoneal fluid, and decreased pancreatic perfusion with edema representing pancreatic necrosis (yellow arrow). Figure 2: one week later: Oral and IV contrast coronal CT demonstrates increasing size to the bilateral pleural effusions (purple arrow) . Worsening cortical necrosis with hypoperfused renal cortices bilaterally (yellow and blue arrows). There is gastric wall and descending colon bowel wall thickening from submucosal hemorrhage (green). Figure 3:Same Coronal CT one week later: More anterior coronal image demonstrates right pleural effusion (orange arrow), an Ashsplit catheter in the right ventricle (yellow arrow), pancreatic body hypoperfusion and edema consistent with necrosis (red arrow), gastric wall thickening (blue arrow), and small bowel wall thickening (brown arrow).