Presentation
Sudden onset abdominal pain.
Patient Data
Diffuse enlargement with the irregular pancreatic outline accompanied by peripancreatic fat stranding and spread of an inflammatory exudate to the lesser sac, paracolic gutters, mesenteric region, and retroperitoneal space.
No signs of necrosis are observed.
The adjacent segments of the duodenum and proximal jejunal loop demonstrate mural thickening and peri enteric edematous changes, in keeping with reactive changes.
Diffuse reduction in the attenuation of the liver due to fatty liver changes.
There is a 12 mm hyperdense stone along with the right kidney upper pole associated with a scar and thinning of the adjacent renal parenchyma.
Mild free fluid is seen at cul-de-sac space.
Case Discussion
Findings are compatible with acute pancreatitis and confirmed biochemically with markedly elevated amylase and lipase.
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