A 55-year-old man is undergoing a planned Beger operation for chronic pancreatitis. After the anterior pancreas is exposed, dissection under the pancreatic neck is impossible secondary to dense fibrotic inflammation. What is the operative strategy?
A. Frey
B. Distal Panc
C. Whipple
D. Total Panc
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A 32-year-old man who was discharged 5 weeks ago after hospitalization for acute pancreatitis returns to the ED complaining of epigastric abdominal pain and early satiety. An abdominal ultrasound is obtained with a substantial fluid collection noted, and a CT scan is recommended for further classification. Which of the following CT findings would be more consistent with a walled-off necrosis versus a pseudocyst?
A. Well-circumscribed fluid collection that is round
B. Heterogenous fluid collection with liquid and nonliquid density, with varying degrees of loculation
C. Absence of internal septae within the cyst cavity
D. A well-defined wall that completely encapsulates the fluid collection
E. A fluid collection that is extrapancreatic
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