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A 57-year-old man self-referred to the emergency department. Upon arrival he had a grand mal seizure followed by a cardiac arrest. Cardiac output was promptly restored. As seizures continued infusions of propofol, midazolam and phenytoin were started. Empirical aciclovir and ceftriaxone were also given. A head CT and lumbar puncture were non-diagnostic. An amylase of 795 IU/l precipitated an abdominal CT scan (figs 1A and B).
The contrast-enhanced CT …
Competing interests: None.