EURORAD ESR

Case 10713

A rare complication of acute exacerbation of chronic pancreatitis

Author(s)
Dr. Elton CEKAJ
Dr. Renato OSMËNAJ

Regional Hospital of Durres, Durres Albania
University Hospital Center "Mother Tereza" of Tirana, Tirana Albania
 
Patient
male, 50 year(s)
 
 
  • Figure 1
    Axial CT views
     

    Axial thorax CT image without CM. Note free bilateral pleural fluid.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial upper abdomen CT view without CM. Note oedema surrounding pancreas free and peritoneal fluid.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial pancreas CT view without CM. Note calcifications of pancreas and ondular aspect of its remaining normal structure. There is a lot of free peritoneal fluid.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 2
    CT views with CM
     

    Axial CT view, arterial phase. Note round hyperintense image by CM pooling due to severe acute inflammation of surrounding left gastric artery area, tipical pseudoaneurism.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Coronal view of pseudoaeneurysm, arterial phase.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    The same finding as above in sagittal view, arterial phase.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Axial CT view, post CM late phase. Note the remaining contrast agent in pseudoaeneurysm.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 3
    MIP and 3D volume rendering reformat
     

    Note the origin of pseudoaeneurysm in this left gastric artery reconstruction.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Coronal MIP of pseudoaeneurysm.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    3D MIP reconstruction. Note the left gastric artery and the pseudoaeneurysm.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    The same as above in 3D volume rendering.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    3D volume rendering view of pseudoaeneurysm.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
Axial thorax CT image without CM. Note free bilateral pleural fluid.
 
Axial upper abdomen CT view without CM. Note oedema surrounding pancreas free and peritoneal fluid.
 
Axial pancreas CT view without CM. Note calcifications of pancreas and ondular aspect of its remaining normal structure. There is a lot of free peritoneal fluid.
 
Axial CT view, arterial phase. Note round hyperintense image by CM pooling due to severe acute inflammation of surrounding left gastric artery area, tipical pseudoaneurism.
 
Coronal view of pseudoaeneurysm, arterial phase.
 
The same finding as above in sagittal view, arterial phase.
 
Axial CT view, post CM late phase. Note the remaining contrast agent in pseudoaeneurysm.
 
Note the origin of pseudoaeneurysm in this left gastric artery reconstruction.
 
Coronal MIP of pseudoaeneurysm.
 
3D MIP reconstruction. Note the left gastric artery and the pseudoaeneurysm.
 
The same as above in 3D volume rendering.
 
3D volume rendering view of pseudoaeneurysm.
 
 
 
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