Severe Acute Alcoholic Pancreatitis in Surgery — 48yo Man | General Surgery | SMLE Q#1280
SMLE Question #1280
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 48-year-old man has 5 days of worsening epigastric pain and fever. He was hospitalised 6 weeks ago with severe acute alcoholic pancreatitis. He now reports early satiety and nausea. Examination shows epigastric tenderness and a vague palpable fullness. Abdominal ultrasound and contrast-enhanced CT show a 7-cm well-defined peripancreatic collection with a thick enhancing wall and heterogeneous internal density without gas. What is the most likely diagnosis?
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