Thursday, January 22, 2015

Stat Radiology Call

You are cross-covering the general surgery patients at the hospital when you get a call from radiology about a stat CT abdomen pelvis with contrast. It is for an alcoholic presenting with abdominal pain radiating to the back, nausea, and vomiting.

Challenge: What's the radiologist going to tell you?

Image shown under Fair Use.


RaH said...

two diagnoses pop up in my mind:
-pancreatitis, most likely acute
-pancreatic tumor

the clinical signs and the acute onset lead me towards an acute pancreatitic inflammation. treatment consists in hydrating the patient to a max, and draining necrotising cyst, and the reduce the autolysis done by the pancreativ enzymes

Craig Chen said...

good radiology read - it's the former
Stat Radiology Call

The CT shows perfused pancreatic tissue (arrow) and nonperfused pancreatic necrosis (star) from acute pancreatitis. The triangle shows peripancreatic necrosis in the transverse mesocolon.

Source: UpToDate.