Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review

Figure 1 Abdominal computed tomography revealed an increased density of peripancreatic dirty fat tissue and fluid collection (arrowheads), without (A) and with (C) contrast. Unenhanced computed tomography (B) revealed a slightly hyperdense, spindle-shaped mass, 65 mm in maximum diameter, mainly along the descending part of the duodenum (arrow). This mass showed no contrast enhancement in the arterial phase (arrow) (D).

Figure 2 Abdominal ultrasonography showed a 65 mm × 45 mm heterogeneous mass at the level of the pancreatic head (arrows) (A and B), with a slightly dilated main pancreatic duct (arrowhead) and peripancreatic fluid collection (A).

Figure 3 Gastrointestinal fiberscopy showed the reddish and edematous mucosa in the descending part of the duodenum (A) and luminal narrowing was observed (B).