PMC4422543_01
Enhanced abdominal CT scan findings. (A) Enhanced abdominal CT on admission. Around the head of the pancreas, the density of the adipose tissue was increased. There was a fluid collection but no swelling of the pancreas (arrow). (B) Abdominal CT on hospital day 11. The fluid collection has disappeared and there were no cystic changes in the pancreas.
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Fig1
To determine the stomach contents before gastric lavage, enhanced computed tomography (CT) of the abdomen was performed (Figure 1A). On hospital day 11, enhanced CT showed resolution of the fluid collection and no cystic changes in the pancreas (Figure 1B).
Clinical Course. PAM: pralidoxime methiodide, ABPC/SBT: Sulbactam/Ampicillin, PLA2: Phospholipase A2, HDF: Hemodiafiltration.
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Fig2
HDF to treat the severe acute pancreatitis was started on hospital day 2 (Figure 2). HDF was carried out using a polysulfone high-performance membrane (APS-15E, Asahi Kasei Medical, Tokyo, Japan) for 8 hours daily.