Spot Diagnosis

Acute severe pancreatitis

Continuing with the series on acute severe pancreatitis, this is a patient with a large acute fluid collection in the lesser sac (Fig. 1) with virtually complete necrosis of the pancreatic parenchyma (Fig. 2). This is perhaps the most severe manifestation of the disease.

Acute abdomen

Each Wednesday morning, we will put one example of the use of CT in acute abdomen. As a one-top modality, CT can pick up virtually every cause of an acute abdomen, save an ectopic pregnancy.

1. Amebic liver abscess

2. Pyogenic liver abscess

3. Liver abscess

4. Acute cholecystitis

5. Acute choledocholithiasis

6. Acute mild pancreatitis

7. Acute mild pancreatitis with small acute fluid collection

8. Acute severe pancreatitis

9. Acute severe pancreatitis

10. Acute severe pancreatitis with infected necrosis

11. Pancreatitis - aspiration of fluid collections

12. Severe pancreatitis - abscess drainage