EURORAD ESR

Case 15126

Drug-Induced Acute Pancreatitis in a patient with Crohn’s Disease

Author(s)
Matos Elizabeth, Florim Sofia, Coelho Paula, Portugal Pedro

Centro Hospitalar de Vila Nova de Gaia/Espinho
Radiology Department
R. Conceição Fernandes 1079, Vila Nova de Gaia, Portugal

Email:elizabeth.cabral.matos@gmail.com
 
Patient
female, 19 year(s)
 
 
  • Figure 1
    US of the upper abdomen
     

    Axial images of the superior retroperitoneum showing an enlarged pancreas with diffuse globosity of the head, body and tail; and a discreetly - diffuse and heterogeneous - reduction of the normal parenchymal...

     
    Area of Interest: Pancreas; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Drugs / Reactions;

    Axial images of the superior retroperitoneum showing an enlarged pancreas with diffuse globosity of the head, body and tail; and a discreetly - diffuse and heterogeneous - reduction of the normal parenchymal...

     
    Area of Interest: Pancreas; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Drugs / Reactions;
     
     
  • Figure 2
    US of the upper abdomen
     

    Axial images of the superior retroperitoneum showing a diffusely enlarged pancreas with reduction of parenchymal echogenicity. A peripancreatic anechoic fluid blade anteriorly to the pancreatic head and duodenum is...

     
    Area of Interest: Pancreas; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Drugs / Reactions;

    Axial images of the superior retroperitoneum showing a diffusely enlarged pancreas with reduction of parenchymal echogenicity. A peripancreatic anechoic fluid blade anteriorly to the pancreatic head and duodenum is...

     
    Area of Interest: Pancreas; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Drugs / Reactions;
     
     
  • Figure 3
    US of the upper abdomen
     

    Axial images at the level of the pancreatic head, showing a fluid blade anteriorly to the pancreatic head and surrounding the descending segment of the duodenum, with duodenal thickening.

     
    Area of Interest: Pancreas; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial images at the level of the pancreatic head, showing a fluid blade anteriorly to the pancreatic head and surrounding the descending segment of the duodenum, with duodenal thickening.

     
    Area of Interest: Pancreas; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Drugs / Reactions;
     
     
  • Figure 4
    MR-Enterography: T2-HASTE, T2-TRUFI and T1fs-VIBE-Gd
     

    Concentric wall thickening of the distam ileum: hyperintense on T2 due to oedema with mucosal enhancement on T1 (active inflammation). At CINE (not shown): hypomotility with proximal distension from stenosis.

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Concentric wall thickening of the distam ileum: hyperintense on T2 due to oedema with mucosal enhancement on T1 (active inflammation). At CINE (not shown): hypomotility with proximal distension from stenosis.

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Concentric wall thickening of the distam ileum: hyperintense on T2 due to oedema with mucosal enhancement on T1 (active inflammation). At CINE (not shown): hypomotility with proximal distension from stenosis.

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Axial images of the superior retroperitoneum showing an enlarged pancreas with diffuse globosity of the head, body and tail; and a discreetly - diffuse and heterogeneous - reduction of the normal parenchymal echogenicity.
 
Axial images of the superior retroperitoneum showing an enlarged pancreas with diffuse globosity of the head, body and tail; and a discreetly - diffuse and heterogeneous - reduction of the normal parenchymal echogenicity.
 
Axial images of the superior retroperitoneum showing a diffusely enlarged pancreas with reduction of parenchymal echogenicity. A peripancreatic anechoic fluid blade anteriorly to the pancreatic head and duodenum is seen (arrow in B).
 
Axial images of the superior retroperitoneum showing a diffusely enlarged pancreas with reduction of parenchymal echogenicity. A peripancreatic anechoic fluid blade anteriorly to the pancreatic head and duodenum is seen (arrow in B).
 
Axial images at the level of the pancreatic head, showing a fluid blade anteriorly to the pancreatic head and surrounding the descending segment of the duodenum, with duodenal thickening.
 
Axial images at the level of the pancreatic head, showing a fluid blade anteriorly to the pancreatic head and surrounding the descending segment of the duodenum, with duodenal thickening.
 
Concentric wall thickening of the distam ileum: hyperintense on T2 due to oedema with mucosal enhancement on T1 (active inflammation). At CINE (not shown): hypomotility with proximal distension from stenosis.
 
Concentric wall thickening of the distam ileum: hyperintense on T2 due to oedema with mucosal enhancement on T1 (active inflammation). At CINE (not shown): hypomotility with proximal distension from stenosis.
 
Concentric wall thickening of the distam ileum: hyperintense on T2 due to oedema with mucosal enhancement on T1 (active inflammation). At CINE (not shown): hypomotility with proximal distension from stenosis.
 
 
 
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