PMC9860406_01
Axial slice of CT Scan from admission demonstrating peripancreatic fluid with preserved pancreatic parenchyma, consistent with acute interstitial pancreatitis.
gr1.jpg
PMC9860406_01_gr1.jpg
fig1
Abdominal and Pelvic computed tomography (CT) Scan with intravenous (IV) contrast showed acute interstitial pancreatitis with a bulky appearance of the pancreatic head and extensive peri-pancreatic fluid and fat stranding (Fig. 1).
MRCP from Day 3 of admission. Fig. 2A. Showing foci of low T2 signal intensities within the peripancreatc fluid collection at the left anterior pararenal space. Fig. 2B. Showing susceptibility artifact on T1 GRE sequences, indicating air bullae.
gr2.jpg
PMC9860406_01_gr2.jpg
fig2
No evidence of biliary ductal stones or intraluminal lesions (Fig. 2).
CT Chest from day 4 of admission showing a filling defect at the posterior segmental branch of the left lower lobar artery, suggestive of acute pulmonary embolism. Also a mild bilateral pleural effusion with complete collapse of the left lower lobe.
gr3.jpg
PMC9860406_01_gr3.jpg
fig3
A CT Chest with IV contrast showed a filling defect at the posterior segmental branch of the left lower lobar artery consistent an acute pulmonary embolus (Fig. 3).
Axial slice of CT Abdomen from day 4 of admission showing free air within the peripancreatic fluid collection, indicating emphysematous pancreatitis/gas forming superimposed infection.
gr4.jpg
PMC9860406_01_gr4.jpg
fig4
Findings were suggestive of emphysematous pancreatitis or gas forming superimposed infection (Fig. 4).
Axial slice of CT Abdomen from day 9 of admission. Unhanged air bubbles within the peripancreatic collection, the latter appearing more well defined on today's exam, indicating a walled-off collection and a superimposed gas forming infection.
gr5.jpg
PMC9860406_01_gr5.jpg
fig5
The latter appearing more well defined, indicating a walled-off collection and a superimposed gas forming infection (Fig. 5).