Necrotizing pancreatitis with walled-off necrotic collection
Diabetic patient had a history of acute epigasrtic pain and elevated amylase levels about 5 weeks ago.
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Swollen pancreas with non enhancing parenchyma (sparing the pancreatic tail) in keeping with "necrotizing pancreatitis", the pancreas is surrounded by large capsulated peripancreatic fluid collection which is abutting the stomach anteriorly. Smudging and fluid edema are seen at the peripancreatic fat planes.
Loss of signal void & post contrast enhancement of the splenic vein (likely thrombosed)
The following are the latest terms according to the updated Atlanta classification to describe fluid collections associated with acute pancreatitis:
- fluid collections associated with interstitial edematous pancreatitis (i.e. minimal or no necrosis)
- fluid collections associated with necrotizing pancreatitis