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During a holiday on a Mediterranean island, a 63-year old woman suffered a severe attack of pancreatitis secondary to gallstones. During the hospital stay, no sepsis was noted, but she was treated with prophylactic intravenous antibiotics, intravenous fluid and analgesia intensive care support was not required. After 22 days in hospital, she travelled back to the UK and presented to our department on advice to seek further help regarding ongoing symptoms of nausea and reduced appetite. A CT scan performed on admission demonstrated a developing 13×4.5 cm acute pancreatic collection with fat necrosis, splenic vein occlusion and gastric compression. Treatment with analgesia, venous thrombosis prophylaxis and nasojejenual feeding was commenced pending …
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