PMC9996226_01
An abdominal CT scan confirmed the diagnosis of acute pancreatitis. (A) Abdominal CT revealed fluid collection around the pancreas; red arrows indicate an undilated duodenum and a large amount of exudate. (B) CT coronal imaging. (C) Contrast-enhanced abdominal CT. The arrow on the left indicates the duodenum, and the arrow on the right indicates a necrotic lesion of the pancreas with a large amount of local exudate. (D) No obstruction was found in the duodenum on abdominal CT.
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F1
Abdominal computed tomography (CT) revealed fluid collection around the pancreas and peripancreatic inflammation with diffuse pancreatic edema (Figure 1).
(A, B) Abdominal CT re-examination showed duodenal obstruction and proximal dilatation. (C) The results of the cranial MRI suggested patchy abnormal signal shadows in the bilateral medial thalamic region. (D) Edema was evident in the dorsal area of the brain stem around the aqueduct.
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F2
An abdominal CT re-examination showed complete obstruction of the horizontal duodenum, dilatation of the proximal small intestine and stomach, and increased peripancreatic edema (Figures 2A, B). Cranial MRI indicated patchy abnormal signal shadows in the bilateral thalami and dorsal brainstem and suggested metabolic encephalopathy (Figures 2C, D).
The follow-up radiographic results. (A, B) Abdominal CT showed that pancreatic edema subsided, peripancreatic exudate was obviously absorbed, and the duodenum was not dilated or obstructed. (C, D) Cerebral MRI results at 3 months after discharge indicated that edema had disappeared in the medial thalamus and dorsal brain stem.
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F3
She was regularly followed up for 3 months after discharge, and no abnormalities were detected during the follow-up (Figure 3).