Dynamic Computed Tomography of Acute Pancreatitis

1993 ◽  
pp. 66-75
Author(s):  
P. C. Freeny
1993 ◽  
Vol 80 (11) ◽  
pp. 1393-1395 ◽  
Author(s):  
M. E. Lucarotti ◽  
J. Virjee ◽  
D. Alderson

1991 ◽  
Vol 78 (12) ◽  
pp. 1452-1456 ◽  
Author(s):  
N. J. M. London ◽  
T. Leese ◽  
D. F. L. Watkin ◽  
D. P. Fossard ◽  
J. M. Lavelle ◽  
...  

Author(s):  
Pankaj Gupta ◽  
Rohan Kamat ◽  
Jayanta Samanta ◽  
Harshal Mandavdhare ◽  
Vishal Sharma ◽  
...  

Abstract Purpose Intraabdominal hypertension (IAH) in acute pancreatitis (AP) may reduce tissue perfusion and impair organ function and has been shown to portend poor prognosis. We investigated the computed tomography (CT) findings in patients with AP with IAH. Methods This retrospective study comprised of consecutive patients with AP from June 2016 to June 2018 in whom intraabdominal pressure (IAP) was measured. The patients who underwent a contrast-enhanced CT within 7 days of IAP measurement were included. Using a cutoff of 12 mm Hg for IAP, the patients were divided into IAH and non-IAH groups. Measures of severity and clinical outcome were evaluated. CT parameters were compared between the groups. Results The IAH group comprised of 41 patients, while there were 20 patients in the non-IAH group. The IAH group was characterized by severe disease, increased incidence of organ failure, increased requirement for drainage and surgery, prolonged hospital and intensive care unit stay. The mortality was not significantly different between the two groups. On univariate analysis, the CT features that were found to be significantly different between the two groups were the presence of collection (p = 0.036), the maximum dimension of collection (p = 0.004), volume of collection (p = 0.019), biliary dilatation (p = 0.011), and the presence of moderate-to-severe pleural effusion (p = 0.009). On multivariate analysis, all these parameters except biliary dilatation were found to be statistically significant. Conclusion CT findings in patients with AP may suggest IAH. This can be used as an additional marker for severity of AP.


KYAMC Journal ◽  
2019 ◽  
Vol 10 (2) ◽  
pp. 110-113
Author(s):  
Md Mofazzal Sharif ◽  
Khaleda Parvin Rekha ◽  
Umme Iffat Siddiqua ◽  
Mst Monira Khatun ◽  
AKM Enamul Haque ◽  
...  

Pancreatitis is one of most complex and clinically challenging of all abdominal disorders. USG and abdominal Computed Tomography (CT) are the most commonly used diagnostic imaging modalities for the evaluation of pancreas. Computed Tomography (CT) is highly accurate and sensitive than USG in both diagnosing as well as demonstrating the extent. Early assessment of the cause and severity of acute pancreatitis is of utmost importance for prompt treatment and close monitoring of patient with severe disease. CT is the imaging method of choice for assessing the extent of acute pancreatitis and for evaluating complications. CT severity index is used to assess prognostic correlation and clinical outcome of acute pancreatitis. Modified CT severity index makes the score easier to calculate and reduces the inter-observer variation. KYAMC Journal Vol. 10, No.-2, July 2019, Page 110-113


2004 ◽  
Vol 126 (3) ◽  
pp. 715-723 ◽  
Author(s):  
Marianna Arvanitakis ◽  
Myriam Delhaye ◽  
Viviane De Maertelaere ◽  
Monia Bali ◽  
Catherine Winant ◽  
...  

1990 ◽  
Vol 103 (3-4) ◽  
pp. 122-127 ◽  
Author(s):  
T. Terada ◽  
T. Nishiguchi ◽  
G. Hyotani ◽  
Y. Nakamura ◽  
S. Hayashi ◽  
...  

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