Acute on chronic pancreatitis
Updates to Case Attributes
Calcification of the pancreas indicated chronic pancreatitis. In addition, marked peripancreatic inflammatory change with fluid extending into the small bowel mesentry, transverse mesocolon and down into the pelvis. Some areas of focal reduced enhancement.
Formation ofIt is likely that a peripancreatic collection that will likely will develop into a fluid-based collection that can be. These are often amenable to percutaneously draineddrainage under CT guidance, but which wouldusually, do not be suitable forrequire drainage in the acute setting.
Features of acute on chronic pancreatitis with inflammatory change and peripancreatic collection formation.
Chronic left sided hydronephrosis with renal cortical thinning.
-<p>Calcification of the pancreas indicated <a href="/articles/chronic-pancreatitis" title="Chronic pancreatitis">chronic pancreatitis</a>.  In addition, marked peripancreatic inflammatory change with fluid extending into the <a href="/articles/small-bowel-mesentry" title="small bowel mesentry">small bowel mesentry</a>, <a href="/articles/transverse-mesocolon" title="Transverse mesocolon">transverse mesocolon</a> and down into the pelvis. Some areas of focal reduced enhancement.</p><p>Formation of a <a href="/articles/peripancreatic-collection" title="peripancreatic collection">peripancreatic collection</a> that will likely develop into a fluid-based collection that can be percutaneously drained, but which would not be suitable for drainage in the acute setting.</p><p>Features of <a href="/articles/acute-on-chronic-pancreatitis" title="acute on chronic pancreatitis">acute on chronic pancreatitis</a> with inflammatory change and peripancreatic collection formation.</p><p>Chronic left sided <a href="/articles/hydronephrosis" title="hydronephrosis">hydronephrosis</a> with <a href="/articles/renal-cortical-thinning" title="renal cortical thinning">renal cortical thinning</a>.</p>- +<p>It is likely that a <a href="/articles/peripancreatic-collection">peripancreatic collection</a> will develop. These are often amenable to percutaneously drainage under CT guidance, but usually, do not require drainage in the acute setting.</p><p>Features of <a href="/articles/acute-on-chronic-pancreatitis">acute on chronic pancreatitis</a> with inflammatory change and peripancreatic collection formation.</p>
Updates to Study Attributes
Pancreatitis andCalcification of the pancreas indicative of chronic pancreatitis.
Generally, enhancement is preserved although there is some focal non-enhancement in the tail. No collection at present.
Marked peripancreatic inflammatory change with fluid extending into the small bowel mesentery, transverse mesocolon and down into the pelvis. Some areas of focal reduced enhancement. Bilateral pleural effusions.
Chronic left-sided hydronephrosis with renal cortical thinning.
Image CT (non-contrast) ( update )
Image CT (C+ portal venous phase) ( update )
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