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Figure 1. A 42-year-old man who had consumed approximately 180 g of alcohol per day for 22 years was admitted to the hospital with acute pancreatitis complicated by a pseudocyst. On the second hospital day, blood was aspirated through an inserted nasogastric tube, and emergency endoscopy demonstrated rupture of the pseudocyst into the duodenum. Computed tomographic scanning of the abdomen with intravenous contrast medium showed a large, walled-in collection of fluid around the pancreatic head (arrows in Panel A) and scattered areas of high density within the pancreatic head, indicating hemorrhage. Upper gastrointestinal endoscopy showed a large, fistula-like orifice . . . [Full Text of this Article] |
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