Thick Wall in Surgery — 48yo Woman | General Surgery | SMLE Q#1325
SMLE Question #1325
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 48-year-old woman has 2 weeks of worsening epigastric pain, early satiety, and non-bilious postprandial vomiting. Five weeks ago, she was hospitalized for severe acute gallstone pancreatitis managed conservatively. Since discharge, she tolerates only liquids and has lost 4 kg. Abdominal ultrasound shows a 12 × 10 cm well-defined peripancreatic collection with a thick wall and heterogeneous internal debris. What is the most likely diagnosis?
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