Pankreatitis

Chronische

Pankreatitis mit multiplen Verkalkungen in der Computertomographie.

Akute

exsudative Pankreatitis in der Computertomographie mit ausgedehnten Flüssigkeitsstrassen um das Pankreas.

Computed

tomography of acute, exudative pancreatitis. It is easy to see the fluid paths around the pancreas. A diminished contrast of the pancreas as an indication of necrosis is not found.

Exsudative

Pankreasschwanzpankreatitis: Injektion von Flüssigkeit in das Fettgewebe um den Pankreasschwanz.

Teenager in a

motor vehicle accident with abdominal painAxial CT with contrast of the abdomen (above) shows an enlarged pancreatic head with some mild intrahepatic biliary dilation and non-visualization of the common bile duct. Transverse US of the pancreas obtained a day later (below) shows an enlarged hypoechoic pancreatic head.The diagnosis was pancreatitis causing common bile duct obstruction.

Preschooler

with colicky abdominal pain. Transverse US of the pancreatic head (above) shows just to the right of midline a round echogenic lesion with posterior shadowing in the center of the pancreatic head while transverse US of the pancreatic body (below) shows a dilated pancreatic duct throughout the body of the pancreas.The diagnosis was a large stone in the pancreatic head portion of the pancreatic duct causing pancreatic duct obstruction and pancreatitis.

Cystic

pancreatic lesions: MR imaging findings and management. Cystic complications of acute pancreatitis. a–d Pseudocyst. Patient with a previous interstitial edematous pancreatitis. At follow-up after 1 year, a cystic lesion with no septa or debris is appreciable in the tail of the pancreas, hyperintense on T2w (a), without high signal intensity on high b value DWI (b) and no enhancement after contrast media administration (c). At further follow-up after 6 months, the lesion is decreased in size (d). e–n: WON. A large necrotic collection is appreciable in a patient with necrotizing acute pancreatitis (e). After 1 year, a large collection with debris is still appreciable in the tail of the pancreas, clearly visible on T2w as cystic lesion with low signal intensity foci (f). Debris show inhomogeneous signal intensity on DWI (g), ADC map (h) and T1 unenhanced (i), but do not show any enhancement after contrast media administration (l, m). On T2 HASTE coronal view, the caudal extension of the collection is appreciable (n)