Case 88

  • Rita Joarder
  • Neil Crundwell
  • Matthew Gibson


A 50-year-old male with a history of excess alcohol consumption presented with several weeks of central abdominal pain. The amylase was normal but the white count, ESR and CRP were elevated. MDCT (Image 1) and US were performed. Several months later the patient re-presented with abdominal distension and vomiting. Another MDCT was performed (Image 2).


Fluid Collection Pancreatic Fistula Abdominal Distension Acute Severe Pancreatitis Excess Alcohol Consumption 
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  1. 1.
    Balthazar EJ, Robinson DJ, Megibow AJ. (1990) Acute pancreatitis: value of CT in establishing prognosis. Radiology 174:331-336PubMedCrossRefGoogle Scholar
  2. 2.
    Van den Biezenbos AR, Krupty PM, Bosscha K. (1998) Added value of CT criteria compared with the clinical SAP score in patients with acute pancreatitis. Abdom Imaging 23:622-626PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Rita Joarder
    • 1
  • Neil Crundwell
    • 1
  • Matthew Gibson
    • 2
  1. 1.Conquest HospitalEast SussexUK
  2. 2.Royal Berkshire HospitalReadingUK

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