Melissa Noble, MD, Emily Moreno, MSPH, MA, Morteza Khodaee, MD, MPH 

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Severe Acute Necrotizing Pancreatitis in a Patient with Diabetic Ketoacidosis  Melissa Noble, MD, Emily Moreno, MSPH, MA, Morteza Khodaee, MD, MPH  The American Journal of Medicine  Volume 129, Issue 8, Pages e121-e123 (August 2016) DOI: 10.1016/j.amjmed.2016.03.025 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure Coronal (A), sagittal (B), and transverse (C) views of abdominal computed tomography scan with oral contrast reveals large, extensive gas collection that encases the distal stomach, duodenum, and pancreas (*). The collection tracks inferiorly along the bilateral paracolic (**). Liver images demonstrate diffuse hypoattenuation and enlargement consistent with steatosis. Gallbladder is distended. There is no evidence of contrast extravasation from the small bowel or of the gastrointestinal tract. G = gallbladder; L = liver; LK = left kidney; P = pancreas; RK = right kidney; Sp = spleen; St = stomach. The American Journal of Medicine 2016 129, e121-e123DOI: (10.1016/j.amjmed.2016.03.025) Copyright © 2016 Elsevier Inc. Terms and Conditions