Season 8 Case 7

Hx: abdominal pain

Season 8 Case 7

History: abdominal pain

Can you guess the diagnosis from the CT Scout image?


Answer:

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Colon Cut-off Sign of pancreatitis

 

Inflammation of the pancreas, classically the tail, causes focal reactive changes in the splenic flexure of the colon yielding a pseudo-obstruction and mild dilation of the proximal ascending and transverse colon but a paucity of descending colon gas