What's the most likely diagnosis?
- 42 year-old male with acute abdominal pain
Contrast-enhanced Axial CT of Abdomen
- Splenic infarcts
- Adrenal adenomas
- Cholecystitis
- Acute pancreatitis
- Hepatic metastasis
Additional Image - None
Additional Image
.
None
.
Answer:
.
4. Acute Pancreatitis
.
.
More (Click Discussion Tab)
Acute pancreatitis
General considerations
- Acute inflammation of the pancreas
- Most commonly caused by alcohol abuse and gallstones
- For reasons not yet fully understood, there is a release of activated pancreatic enzymes into the pancreas and surrounding tissues which causes tissue destruction
- The clinical course of pancreatitis can range from mild (70-80%) to severe (20-30%)
- Most deaths from acute pancreatitis result from sepsis secondary to pancreatic necrosis and infection and multi-organ failure
- Males more often affected than females; 3X more common in African Americans than Caucasians
More ...