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Fig. 4B —Grade E pancreatitis without necrosis in 47-year-old man.
Axial CT image 6 days after A shows that hemorrhagic pseudocyst
(arrows) has eroded and perforated postbulbar duodenum, with leakage
of free air (arrowheads) into abdomen. Patient underwent surgery with
unroofing and drainage of pseudocyst and pyloric exclusion. Hemorrhage and
pseudocyst resolved on follow-up CT examinations (not shown).
