Fig. 1

CT of the child’s abdomen. (A) Pre-treatment abdominal CT scan with contrast enhancement showed pancreatic swelling with a relatively small pancreatic tail. The pancreatic head partially encircled the descending part of the duodenum, and no abnormal high-density shadows were observed in the substance of the pancreas. The fat gap around the pancreas was murky, and there were scattered exudative shadows. The liver density was decreased, suggesting fatty liver. Multiple nodular shadows with spleen-like density were observed in the splenic area, and they enhanced uniformly after contrast enhancement. (B) After 18 days of treatment, the abdominal CT scan with contrast enhancement showed a partial reduction in pancreatic swelling. Irregular strip-like low-density shadows were observed in the pancreatic and gastric interstitial space, and there was no obvious enhancement after contrast. The scattered exudative shadows in the surrounding area were reduced compared to before treatment