Abdomen, Pelvis, and Perineun

Abdominal Pain/Determining the Cause/Location of the Pain

Epigastric

a. History: Epigastric pain radiates to the back

b. Serum Lipase: 3 times Normal

Differential Diagnosis

Acute Pancreatitis,

Next Pivotal Assessment	Finding
Contrast Enhanced CT if not allergic to contrast and not in renal failure	Nonenhncing
Otherwise MRI without gadolium*	MRI [MRI findings of abnormal changes in the renal and perirenal space include abnormal perfusion of the renal parenchyma, swelling of perirenal fat, fluid collections in the perirenal space]

Next Pivotal Assessment

Finding

Contrast Enhanced CT if not allergic to contrast and not in renal failure

Nonenhncing

Otherwise MRI without gadolium*

MRI in acute pancreatitis | SpringerLink

MRI

[MRI findings of abnormal changes in the renal and perirenal space include abnormal perfusion of the renal parenchyma, swelling of perirenal fat, fluid collections in the perirenal space]

* If patient has severe contrast allergy or renal failure, perform an abdominal MRI without gadolinium.