In acute pancreatitis, the tissue undergoes a process called necrosis in which the tissue transforms into a liquid viscous mass.
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 54-year-old man presents to the emergency department with abdominal pain. He has a two-day history of severe epigastric pain radiating to the back with associated nausea and vomiting. He is markedly obese. His medical history is significant for diabetes mellitus and a premature heart attack 10 years ago. He admits to having problems adhering to his medication regimen. He denies alcohol use. When questioned about his family’s medical history he reports that his brother and mother also have known heart problems. CT scan shows diffuse parenchymal enlargement of the pancreas with indistinct margins and retroperitoneal fat stranding. The biliary tree has a normal calibre. He is diagnosed with acute pancreatitis. Which of the following most likely incited acute pancreatitis in this patient?