患者男,47岁。3天前无明显诱因出现腹痛,为左上腹持续性钝痛,伴阵发性绞痛发作,左背部放射痛(与体位无关),无恶心、呕吐、黑便、便血。平素身体健康,无外伤、输血史。快速CRP:61 mg/L;尿检验α淀粉酶:1139.0 U/L;腹部彩超:脂肪肝,脾脏偏强回声团块,考虑血管瘤。影像检查:CT平扫示胰腺尾部肿胀,其内密度不均匀,见多发类圆形更低密度影,边缘模糊,周围脂肪间隙浑浊,与 Male patient, 47 years old. 3 days ago no obvious incentive for abdominal pain, persistent dull left upper abdomen with paroxysmal onset of angina, left back radiating pain (with no correlation), no nausea, vomiting, melena, blood in the stool. Normal physical health, no trauma, blood transfusion history. Fast CRP: 61 mg / L; urine test alpha amylase: 1139.0 U / L; abdominal ultrasound: fatty liver, spleen partial strong echo mass, consider hemangiomas. Image examination: CT scan shows the swelling of the tail of the pancreas, the unevenness of its density, see multiple rounds of more low-density shadow, the edge of fuzzy, around the fat gap turbid, and