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doi:10.1152/ajpendo.1997.273.1.E122 Bischoff-Ferrari HA, Dietrich T, Orav EJ, et al
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While initial ultrasound may show gallstones or pancreatic enlargement, contrast-enhanced CT performed 72-96 hours after symptom onset best identifies pancreatic necrosis visible in only 30% of cases initially but important for predicting gastroparesis risk
Even in the absence of emergency features, persistent or progressive swelling warrants medical evaluation to identify the underlying cause and ensure appropriate treatment