PMC5577046_01
Computed tomography showing edematous pancreatitis, predominantly at the tail of the pancreas.
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F1
The patient was diagnosed with acute pancreatitis based on a lipase level of 5,000 U/L and computed tomography (CT) with intravenous contrast of the abdomen showing edematous pancreatitis with normal biliary anatomy and no evidence of choledocolithiasis (Figure 1).
Magnetic resonance imaging of the abdomen showing normal pancreatic volume and signal density, normal pancreatic ducts, and the absence of gallstones, defining resolution of pancreatitis.
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F2
Contrast-enhanced magnetic resonance imaging with magnetic resonance cholangiopancreatography (MRCP) sequences of her abdomen performed approximately 5 months after the episode of pancreatitis showed persistent colitis but complete resolution of pancreatitis and no evidence of chronic or autoimmune pancreatic disease (Figure 2).
Gallbladder ultrasound without signs of cholelithiasis or biliary sludge, with normal appearance and size of common bile duct (2 mm).
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F3
Her liver function tests remained normal (total bilirubin 0.3 mg/dL), which made choledocolithiasis unlikely in conjunction with a normal abdominal ultrasound (Figure 3).
Computed tomography confirming resolution of acute pancreatitis.
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F4
Repeat contrast-enhanced CT performed approximately 2 weeks after symptom onset showed no signs of the pancreatitis and no cystic collection (Figure 4).