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Fig. 6 | Insights into Imaging

Fig. 6

From: Cross-sectional imaging of common and unusual complications after endoscopic retrograde cholangiopancreatography

Fig. 6

Necrotising AP in a 73-year-old male after ERCP including endoscopic treatment of mild bleeding after papillotomy. Urgent MRI (T2-weighted image in a) requested because of increased C-reactive protein (CRP), leukocyte count and serum lipase showed a markedly enlarged pancreatic gland (*) with peripancreatic oedema. Contrast-enhanced CT (b, c) confirmed severe AP with inhomogeneous enhancement of the enlarged pancreas due to diffuse peripancreatic necrosis (+). The patient finally recovered after 2 weeks of in-hospital conservative treatment

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