case_images: PMC3764945_01
case_images: a, b Abdominal computed tomography demonstrated fluid collection in the abdomen. We supposed at first that it was capsulated ascitic fluid. The edge of the fluid collection was dull, indicating that the fluid was capsulated. The arrows indicate the pancreatic calculi and the pseudocyst.
case_images: crg-0007-0322-g01.jpg
case_images: PMC3764945_01_crg-0007-0322-g01.jpg
case_images: F1
case_images: Abdominal computed tomography demonstrated huge fluid collection pressing on the visceral organs, multiple pancreatic pseudocysts and pancreatic calcification (fig. 1).
case_images: Operative findings showed that a huge amount of fluid containing bile acid over the thick peritoneum (arrow).
case_images: crg-0007-0322-g02.jpg
case_images: PMC3764945_01_crg-0007-0322-g02.jpg
case_images: F2
case_images: At laparotomy, a huge amount of fluid containing bile acid (amylase at 1,474 IU/l and bilirubin at 13.5 mg/dl) was found to exist in the extraperitoneal space (over the peritoneum) (fig. 2), but no fluid was found in the abdominal cavity.