DIAGNOSTIC IMAGES

Dr. A. Nagarajan*

Department of Pulmonology, Kauvery Hospital, Cantonment, Trichy

*Correspondence: Email: nagapulmo@gmail.com

IMAGE CHALLENGE

History

A 42-years-old lady came with complaints of two weeks’ history of epigastric pain, more since that morning. She also had nausea, and reduced intake of food for the past two months. Pain was relieved by symptomatic treatment from a local hospital.

Investigation

For acute Abdomen, contrast enhanced CT abdomen was done

What is your diagnosis?

Answer

It showed body and tail of the pancreas, surrounded by a thick, dense wall and containing debris with necrotic material within its fluid-filled cavity, consistent with acute on chronic pancreatitis with pseudo cyst formation.

Asymptomatic pseudo-cysts up to 6 cm in diameter can be safely observed and monitored without intervention.

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