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: Axial oral and contrast CT through the level of the pancreas demonstrates low attenuation to the pancreas consistent with pancreatic necrosis or severe hypoperfusion and edema (blue arrow). There is gastric wall thickening (yellow arrow). The left kidney is hypoperfused with cortical necrosis (purple arrow). Figure 2: One week later: Axial oral and IV contrast CT demonstrates pancreatic edema and hypoperfusion consistent with necrosis which has spread to involve the pancreatic head (yellow arrow). Previously, the pancreatic head had normal perfusion (not shown). There is small bowel wall thickening (purple arrow). This results from submucosal hemorrhage. There is bilateral hypoperfusion from small thrombi occluding distal cortical vessels consistent with renal cortical necrosis (blue arrows).