Sir, please, if we have four weeks after the onset of necrotizing pancreatitis, but ANC are not fully walled off, should we call it WON? Because, in fact, when we report it as WON, it should be really walled-off, and that is not always the case. I'm confused with that...thank you and you are doing great work, I hope there will be more videos :)
If it’s not fully walled off and seems ill-defined, not a true collection, I might just refer to it as just peripancreatic fluid. Another clue for WON is that it often has layering debris within it, although not always the case. I’ll keep up the videos, and thanks for the kind feedback!
Thanks for the great video! I know this is a less common case, but how do you tell the difference between an acute necrotizing pancreatitis that is only affecting the peri-pancreas vs acute peri-pancreatic fluid collection?
Good question! It can sometimes be difficult to differentiate, but pancreatic fluid collections tend to be homogeneous with fluid density. Peripancreatic necrosis tends to be complex and heterogeneous in appearance with areas of fluid denisty and nonliquefied components.
Good question immane75! In this case it was unclear; the renal arteries were patent. I suspect that it may have been due to transient thromboembolic disease.
Thank you for the feedback. You can also manually adjust the video speed by clicking the Settings gear icon on the lower right hand corner of the video, and then select Playback speed to slow the video down.
