PMC9195125_01
Acute Pancreatitis. Pancreas is diffusely edematous with prominent. peripancreatic stranding. stranding and fluid which extends into the surrounding mesentery and retroperitoneum with some distal extension along the pericolic gutters. No definite evidence of pancreatic necrosis. No focal fluid collection.
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A computed tomography (CT) scan of the abdomen and pelvis with contrast revealed an acute pancreatitis (Fig. 1), without evidence of pancreatic necrosis, but with hepatomegaly and steatosis.
Severe pancreatitis with (new) occlusion of the splenic vein and new suspected areas of pancreatic necrosis. Prominent increase in peripancreatic fluid and fluid extending along the left paracolic gutter suspicious for early pseudocyst formation. A: Severe pancreatitis (red arrow) with interval increase in peripancreatic fluid collection (yellow arrow), with suspected area of pancreatic necrosis (blue arrow). The fluid collection is seen anteriorly between the pancreas and the stomach which measures approximately 4.6 x 13.2 x 7.2 cm. B: Splenic vein thrombosis.
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In addition, this imaging not only confirmed an early formation of pseudocyst (Fig. 2), but also demonstrated a new occlusion and thrombosis of the splenic vein.