CASE HISTORY / CLINIC:
55-year-old patient with severe abdominal pains, highly elevated amylase and Lipase levels. History of alcohol abuse.



FINDINGS:
Dilated pancreatic duct (due to a profound stenosis at the head of the pancreas - not demonstrated). Not well-defined edematous pancreas.
Diffuse cystic structure, partially marginal and enhancing, and partially with densities similar to blood. Fluid collection.


DIAGNOSIS:
Acute hemorrhagic, necrotic pancreatitis with formation of pseudocyst and fluid collection in a known case of alcohol abuse.


Web resources:

1) Ultraschallatlas
2) Uni Marburg
3) AWMF
4) Medicine worldwide
5) Talessin
6) TU München
7) AHC-Consilium
8) Pancreasinfo

9) Chorus