PMC9939027_01
Patient laboratory values on presentation
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FIG1
Additionally, the patient had elevated liver function tests with alkaline phosphatase (ALP) of 178 U/L (normal range: 45-117 U/L), aspartate transferase (AST) of 359 U/L (normal range: 15-37 U/L), alanine transaminase (ALT) of 535 U/L (normal range: 12-78 U/L), international normalized ratio (INR) 1.2 (normal range: 0.9-1.1), PT 12.6 seconds (normal range: 9.7-12.4 seconds), activated partial thromboplastin time (APTT) 31.1 seconds (normal range: 24.3-34.6 seconds), cortisol 18.4 ug/dL (normal range: 6.2-19.4 ug/dL), thyroid-stimulating hormone (TSH) 0.677 uIU/mL (normal range: 0.463-3.980 uIU/mL), total bilirubin of 1.1 mg/dL (0.2-1.0 mg/dL), and a direct bilirubin of 0.09 U/L (normal range: 0.00-0.20 U/L) (Figure 1).
CT of the abdomen and pelvis with contrast. The red arrow shows pancreatic edema
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FIG2
Computed tomography (CT) of the abdomen and pelvis with contrast (Figure 2) performed on hospital day one showed no cholelithiasis, biliary tree dilatation, or gallbladder wall thickening.
Heavily T2 weighed MRCP (image 1). MRCP: Magnetic resonance cholangiopancreatography. The white arrow shows the normal gallbladder
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FIG3
Figures 3-6 depict MRCP findings. 
Heavily T2 weighted MRCP (image 2). MRCP: Magnetic resonance cholangiopancreatography. The white arrows show the normal common bile duct
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FIG4
Figures 3-6 depict MRCP findings. 
Heavily T2 weighted MRCP (image 3) . MRCP: Magnetic resonance cholangiopancreatography. The image shows stigmata of pancreatic necrosis, pancreatic hemorrhage, and retroperitoneal edema (red arrows pointing to edema and hyperintensity representing hemorrhage)
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FIG5
Figures 3-6 depict MRCP findings. 
Heavily T2 weighted MRCP (image 4). MRCP: Magnetic resonance cholangiopancreatography. The arrows show ascites
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FIG6
Figures 3-6 depict MRCP findings. 