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Fig. 2 | Journal of Cardiothoracic Surgery

Fig. 2

From: Obscured hemorrhagic pancreatitis after orthotopic heart transplantation complicated with acute right heart failure and hepatic dysfunction: a case report

Fig. 2

a An axial view of the contrast-enhanced abdominal CT shows in the pancreas a heterogeneous pattern and some calcified spots (arrowhead) that are compatible with pancreatitis. b A coronal view shows intrapancreatic calcifications (arrowheads) and one high dense lesion, with a huge hematoma, which occupied the perisplenic and pararenal retroperitoneal space and extended to the lower left abdomen (asterisk). c A high-resolution image shows one active contrast medium extravasation in the pararenal region (arrow). There was also abundant ascites, caused by advanced hepatic failure and right heart failure. d A coronal view of contrast-enhanced abdominal CT 2 months later showed fluid accumulated in the space previously occupied by the hematoma (asterisk), which is compatible with chronic pancreatitis with one huge and extended pseudocyst, because the fluid had an extremely high concentration of pancreatic enzymes

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