Season 8 Case 7

History: abdominal pain

Can you guess the diagnosis from the CT Scout image?

Case 7 Answer:  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

ref: https://radiopaedia.org/articles/colon-cut-off-sign?lang=us