File:Necrotic pancreatitis - perforated cholecystitis (Radiopaedia 82321-96402 A 3).jpg

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Description	Radiopaedia case ID: 82321 Image ID: 53532538 Image stack position: 3/119 Plane projection: Axial Aux modality: C+ portal venous phase Study findings: A fluid collection with a faint incomplete wall and few foci with fat density are seen replacing the necrotic pancreatic body, in favor of acute necrotic collection. The distal CBD stone is no longer visible. The impacted distal cystic duct stone is still visible, and evidence of perforated cholecystitis is visible as the large gallbladder fundal mural defect. Modality: CT System: Gastrointestinal Findings: Evidence of pancreatitis is seen as pancreatic edema, peripancreatic fatty haziness, and retroperitoneal fascial thickening on the left side. The pancreatic body does not show normal enhancement despite enhancing pancreatic head or distal tail, suggestive of pancreatic necrosis (more than 50%, score 6). At least one acute fluid collection (likely acute necrotic collection) is visible in the lesser sac (Balthazar score 3, CT severity index 9). At least one stone at the pancreatic portion of the CBD and another one at the distal cystic duct just before insertion to the CBD, and several gallstones are visible, in favor of biliary pancreatitis.
Date	Published: 22nd Nov 2020
Source	https://radiopaedia.org/cases/necrotic-pancreatitis-perforated-cholecystitis-1
Author	Faeze Salahshour
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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	Date/Time	Thumbnail	Dimensions	User	Comment
current	17:25, 3 August 2021		512 × 512 (98 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:82321 (thread B) (batch #25130-3 A3)

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