A 24-year-old man came to a clinic with three days of intermittent abdominal pain and fever. His abdomen was soft. He was tender in the upper middle and left flank, with some guarding. Nothing about the presentation pointed to anything unusual.
An ultrasound revealed a gaseous abdomen, mild enlargement of the liver and spleen, and three fluid collections within his pancreas, separated by internal walls, located in the uncinate process and the body of the organ. These looked like pseudocysts, a known consequence of pancreatitis. Doctors placed a pigtail catheter and drained one.