Presentation
Pain abdomen since 4 weeks, abnormal liver function test, new onset diabetes
Patient Data
A pocket of fluid with well defined walls, showing internal areas of fat density is noted at pancreatic and peri-pancreatic regions.
Areas of hypoenhancement seen at pancreatic head/uncinate process region with fluid and thickening of right anterior renal fascia.
There is mild extrinsic compression of superior mesenteric vein without any other vascular complication.
Case Discussion
Walled-off pancreatic necrosis (WOPN) is a late complication of acute pancreatitis, usually occurs four weeks after the episode.
It shows encapsulated heterogeneous non-liquefied material consists of necrosis and subsequent liquefaction of pancreatic and/or peripancreatic tissue.
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