A 58-year-old man with type 2 diabetes and obesity presents with abdominal pain and vomiting. Serum amylase is mildly elevated but serum lipase is mor...

Question

A 58-year-old man with type 2 diabetes and obesity presents with abdominal pain and vomiting. Serum amylase is mildly elevated but serum lipase is more than three times the upper limit of normal. Ultrasound shows no gallstones. What is the most appropriate initial imaging test to confirm the diagnosis of acute pancreatitis?

Accepted Answer

No imaging is required if lipase is elevated

Answer

CT abdomen with contrast immediately

Answer

Plain abdominal X-ray

Answer

MRI abdomen

Answer

Right upper quadrant ultrasound only

au-racp MCQ (SBA): Acute pancreatitis