Case Report
Copyright ©The Author(s) 2017.
World J Clin Oncol. Oct 10, 2017; 8(5): 420-424
Published online Oct 10, 2017. doi: 10.5306/wjco.v8.i5.420
Table 1 Definitions and descriptions of structural complications of acute pancreatitis
Structural complications of acute pancreatitis[2]
Acute peripancreatic fluid collectionDefined as peripancreatic fluid within the first 4 wk of interstitial edematous pancreatitis Homogeneous collection with fluid density No visible encapsulating wall around fluid collection Adjacent to pancreas
Pancreatic pseudocystDefined as an encapsulated fluid collection usually forming > 4 wk from initial pancreatitis event with visible inflammatory wall typically outside the pancreas with minimal or no necrotic features forming Homogeneous fluid density with no non-liquid components
Acute necrotic collectionDefined as a fluid collection with variable amounts of fluid and necrosis without a visible encapsulating wall Only can occur with necrotizing pancreatitis Can involve pancreatic parenchyma and/or peripancreatic tissue Heterogeneous and non-liquid density of varying degrees
Walled-off necrosisDefined as a mature collection of pancreatic and/or peripancreatic necrosis with an encapsulating inflammatory wall typically requiring > 4 wk from initial pancreatitis to form Only can occur with necrotizing pancreatitis Heterogeneous with liquid and non-liquid density with varying degrees of loculation