Case Studies
Principal Laboratory and Pathology Findings1. The laboratory results (Table 1) in conjunction with the physical examination prompted an investigation to rule out acute cholecystitis/gallstones and pancreatitis. A gallbladder ultrasound study was normal. The computed tomography (CT) scan of the abdomen and pelvis revealed fluid distribution throughout the retroperitoneal and root of the mesentery but was otherwise normal. Magnetic resonance cholangiopancreatography localized the fluid as surrounding both kidneys, as well as in the retroperitoneal space and paracolic gutters. The gallbladder was normal, and there was no evidence of pancreatitis.
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