Case 16: Acute Necrotizing Pancreatitis

  • Stephen I. JohnsonEmail author


70-year-old man diagnosed 5 weeks ago with acute pancreatitis presenting with persistent abdominal pain.


Walled-off necrosis Necrotizing pancreatitis Necrotizing pancreatitis (utility of T2-weighted imaging) Necrotizing pancreatitis (utility of subtraction imaging imaging) 


  1. 1.
    Zaheer A, Singh VK, Qureshi RO, Fishman EK. The revised Atlanta classification for acute pancreatitis: updates in imaging terminology and guidelines. Abdom Imaging. 2013;38(1):125–36. doi: 10.1007/s00261-012-9908-0.CrossRefPubMedGoogle Scholar
  2. 2.
    Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, et al. Classification of acute pancreatitis – 2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013;62(1):102–11. doi: 10.1136/gutjnl-2012-302779.
  3. 3.
    Murphy KP, O'Connor OJ, Maher MM. Updated imaging nomenclature for acute pancreatitis. AJR Am J Roentgenol. 2014;203(5):W464–9. doi: 10.2214/AJR.13.12222.CrossRefPubMedGoogle Scholar
  4. 4.
    Sakorafas GH, Tsiotos GG, Sarr MG. Extrapancreatic necrotizing pancreatitis with viable pancreas: a previously under-appreciated entity. J Am Coll Surg. 1999;188(6):643–8.CrossRefPubMedGoogle Scholar
  5. 5.
    Thoeni RF. The revised Atlanta classification of acute pancreatitis: its importance for the radiologist and its effect on treatment. Radiology. 2012;262(3):751–64. doi: 10.1148/radiol.11110947.CrossRefPubMedGoogle Scholar
  6. 6.
    Balthazar EJ. Acute pancreatitis: assessment of severity with clinical and CT evaluation. Radiology. 2002;223(3):603–13.CrossRefPubMedGoogle Scholar
  7. 7.
    Kamal A, Singh VK, Akshintala VS, Kawamoto S, Tsai S, Haider M, et al. CT and MRI assessment of symptomatic organized pancreatic fluid collections and pancreatic duct disruption: an interreader variability study using the revised Atlanta classification 2012. Abdom Imaging. 2015;40(6):1608–16. doi: 10.1007/s00261-014-0303-x.CrossRefPubMedGoogle Scholar
  8. 8.
    Banks PA, Freeman ML. Practice guidelines in acute pancreatitis. Am J Gastroenterol. 2006;101(10):2379–400.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of RadiologyOchsner Health SystemNew OrleansUSA

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