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Acute Peripancreatic Fluid Collection

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Acute peripancreatic fluid collections (APFCs) are fluid collections that develop in the early phase (less than four weeks) of interstitial edematous pancreatitis. On CECT (Figure 3.1), APFCs are homogeneous collections that lack a defined wall and are confined by normal fascial planes in the retroperitoneum. Most APFCs resolve spontaneously, although rarely APFCs may evolve into pancreatic pseudocysts if persistent beyond four weeks. The majority of APFCs, which spontaneously resolve and remain asymptomatic, do not require treatment.

Clinical Pancreatology for Practising Gastroenterologists and Surgeons

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