A Rare Case of an Abdominal Giant Mass Induced by Pancreatitis

Abstract

Question: A 54-year-old man experienced intermittent abdominal pain for more than 4 months, with the physical examination finding of epigastric tenderness. He had a long history of alcohol consumption. Laboratory tests showed significantly elevated amylase (404 U/L) and lipase (1071 U/L), and the clinician highly suspected pancreatitis. To clarify the diagnosis and the severity of the patient’s condition, the patient underwent abdominal computed tomography (CT) and magnetic resonance imaging, which showed increased fat density around the pancreas, visible as multiple patchy exudative shadows (Figure A, red arrows) with blurred borders and dilated pancreatic ducts.