case_images: PMC9939027_01
case_images: Patient laboratory values on presentation
case_images: cureus-0015-00000034002-i01.jpg
case_images: PMC9939027_01_cureus-0015-00000034002-i01.jpg
case_images: FIG1
case_images: Additionally, the patient had elevated liver function tests with alkaline phosphatase (ALP) of 178 U/L (normal range: 45-117 U/L), aspartate transferase (AST) of 359 U/L (normal range: 15-37 U/L), alanine transaminase (ALT) of 535 U/L (normal range: 12-78 U/L), international normalized ratio (INR) 1.2 (normal range: 0.9-1.1), PT 12.6 seconds (normal range: 9.7-12.4 seconds), activated partial thromboplastin time (APTT) 31.1 seconds (normal range: 24.3-34.6 seconds), cortisol 18.4 ug/dL (normal range: 6.2-19.4 ug/dL), thyroid-stimulating hormone (TSH) 0.677 uIU/mL (normal range: 0.463-3.980 uIU/mL), total bilirubin of 1.1 mg/dL (0.2-1.0 mg/dL), and a direct bilirubin of 0.09 U/L (normal range: 0.00-0.20 U/L) (Figure 1).
case_images: CT of the abdomen and pelvis with contrast. The red arrow shows pancreatic edema
case_images: cureus-0015-00000034002-i02.jpg
case_images: PMC9939027_01_cureus-0015-00000034002-i02.jpg
case_images: FIG2
case_images: Computed tomography (CT) of the abdomen and pelvis with contrast (Figure 2) performed on hospital day one showed no cholelithiasis, biliary tree dilatation, or gallbladder wall thickening.
case_images: Heavily T2 weighed MRCP (image 1). MRCP: Magnetic resonance cholangiopancreatography. The white arrow shows the normal gallbladder
case_images: cureus-0015-00000034002-i03.jpg
case_images: PMC9939027_01_cureus-0015-00000034002-i03.jpg
case_images: FIG3
case_images: Figures 3-6 depict MRCP findings. 
case_images: Heavily T2 weighted MRCP (image 2). MRCP: Magnetic resonance cholangiopancreatography. The white arrows show the normal common bile duct
case_images: cureus-0015-00000034002-i04.jpg
case_images: PMC9939027_01_cureus-0015-00000034002-i04.jpg
case_images: FIG4
case_images: Figures 3-6 depict MRCP findings. 
case_images: Heavily T2 weighted MRCP (image 3) . MRCP: Magnetic resonance cholangiopancreatography. The image shows stigmata of pancreatic necrosis, pancreatic hemorrhage, and retroperitoneal edema (red arrows pointing to edema and hyperintensity representing hemorrhage)
case_images: cureus-0015-00000034002-i05.jpg
case_images: PMC9939027_01_cureus-0015-00000034002-i05.jpg
case_images: FIG5
case_images: Figures 3-6 depict MRCP findings. 
case_images: Heavily T2 weighted MRCP (image 4). MRCP: Magnetic resonance cholangiopancreatography. The arrows show ascites
case_images: cureus-0015-00000034002-i06.jpg
case_images: PMC9939027_01_cureus-0015-00000034002-i06.jpg
case_images: FIG6
case_images: Figures 3-6 depict MRCP findings. 