CASE OF THE MONTH

2001

ANSWER

FOR MAR


Fig 1

Figure 1

Fig 3

Figure 3

Fig 2

Figure 2

Figure 1 AXR shows abnormal gas collection in the central abdomen above the transverse colon.

Figure 2 CT shows the whole of the pancreas is non-enhancing and replaced by gas. There is free fluid in the abdomen.

Figure 3 Gas is seen in the portal veins branches.

She was opened up.

DIAGNOSIS :

Pancreatic necrosis with portal vein gas.

HISTORY

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