Case of November 2010

Clinical History:

A 72-year-old gentleman with history of gallstones was presented with abdominal pain for 2 days. He was found to be hypotensive and blood tests revealed severe metabolic acidosis with pH 7.16, HCO3 6.8. White cell count was 24. Amylase was 1500. Urgent CT of the abdomen with contrast was performed.