PMC7332625_01
Chest X-ray (A) and chest computed tomography (B) showed left pleural effusion.
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Chest computed tomography (CT) showed left pleural effusion (Fig. 1).
Contrast-enhanced thoracoabdominal computed tomography showing fluid accumulation in the left chest cavity (A), left crus of the diaphragm (B), and left iliopsoas muscle (C).
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Whole-body contrast-enhanced CT additionally showed fluid accumulation from the thoracic crus of the diaphragm to the left iliopsoas muscle (Fig. 2).
The accumulation of the contrast agent on the left side of the vertebra of the body was confirmed by endoscopic retrograde cholangiopancreatography (A). Immediate contrast-enhanced abdominal computed tomography showing leakage of the contrast agent outside the pancreas (B).
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Abdominal CT also revealed that the imaging agent was leaking from the pancreas (Fig. 3).
Surgical specimen of pancreatosplenectomy. The tail and anterior surface of the pancreas had severely coalesced (A), and severe crush wound present (B).
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Acute necrotizing pancreatitis was suspected (Fig. 4).
Course of treatment.
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Postoperatively, the serum amylase levels normalized, and the pleural effusion and ascites disappeared (Fig. 5).