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Diagnosis and Staging of Acute Pancreatitis on Multidetector Computed Tomography

Received: 5 July 2019     Accepted: 7 August 2019     Published: 28 August 2019
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Abstract

INTRODUCTION: Acute pancreatitis is a protean disease with varying clinical findings from mild to severe. CT is the imaging modality of choice to help stage the severity of inflammatory processes, detect pancreatic necrosis and depict local complications. Objectives of this study was to evaluate the role of MDCT in diagnosis and staging of acute pancreatitis and to identify the complications of acute pancreatitis on CT scanning. MATERIAL AND METHODS: This was a descriptive study done from 26th September 2016 to 25th March 2017. 45 patients of age range 17-85 years (29 Male and 16 Female) were included in study. CT scans were assessed for pancreatic necrosis and its complications. Computed tomography severity index (CTSI) was calculated by Balthazar’s grading + degree of necrosis points into mild, moderate and severe CTSI. RESULTS: 14 patients had mild, 14 had moderate and 17 patients had severe acute pancreatitis CTSI. Of 31 patients with pancreatic necrosis 26 (83.8%) patients showed complications and 5 (16.12%) patients were without complications. Of 14 patients without pancreatic necrosis only 5 (35.7%) patients were with complications and 9 (64%) were without complications. CONCLUSION: CT scan should be the investigation of choice if clinical diagnosis is acute pancreatitis and to assess the severity of disease to predict its course.

Published in International Journal of Chinese Medicine (Volume 3, Issue 3)
DOI 10.11648/j.ijcm.20190303.12
Page(s) 41-47
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Acute Pancreatitis, Multidetector Computed Tomography, Computed Tomography Severity Index (CTSI)

References
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[3] Jiruppabha B. CT appearance of acute pancreatitis using multiphase Multidetector Computed Tomography and correlation between CT Severity Index and clinical outcomes. Chula Med J Vol. 63 No. 3 July - September 2019; 153-161.
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  • APA Style

    Sameera Vakil, Hina Siddiqui, Maria Hassan. (2019). Diagnosis and Staging of Acute Pancreatitis on Multidetector Computed Tomography. International Journal of Chinese Medicine, 3(3), 41-47. https://doi.org/10.11648/j.ijcm.20190303.12

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    ACS Style

    Sameera Vakil; Hina Siddiqui; Maria Hassan. Diagnosis and Staging of Acute Pancreatitis on Multidetector Computed Tomography. Int. J. Chin. Med. 2019, 3(3), 41-47. doi: 10.11648/j.ijcm.20190303.12

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    AMA Style

    Sameera Vakil, Hina Siddiqui, Maria Hassan. Diagnosis and Staging of Acute Pancreatitis on Multidetector Computed Tomography. Int J Chin Med. 2019;3(3):41-47. doi: 10.11648/j.ijcm.20190303.12

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  • @article{10.11648/j.ijcm.20190303.12,
      author = {Sameera Vakil and Hina Siddiqui and Maria Hassan},
      title = {Diagnosis and Staging of Acute Pancreatitis on Multidetector Computed Tomography},
      journal = {International Journal of Chinese Medicine},
      volume = {3},
      number = {3},
      pages = {41-47},
      doi = {10.11648/j.ijcm.20190303.12},
      url = {https://doi.org/10.11648/j.ijcm.20190303.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcm.20190303.12},
      abstract = {INTRODUCTION: Acute pancreatitis is a protean disease with varying clinical findings from mild to severe. CT is the imaging modality of choice to help stage the severity of inflammatory processes, detect pancreatic necrosis and depict local complications. Objectives of this study was to evaluate the role of MDCT in diagnosis and staging of acute pancreatitis and to identify the complications of acute pancreatitis on CT scanning. MATERIAL AND METHODS: This was a descriptive study done from 26th September 2016 to 25th March 2017. 45 patients of age range 17-85 years (29 Male and 16 Female) were included in study. CT scans were assessed for pancreatic necrosis and its complications. Computed tomography severity index (CTSI) was calculated by Balthazar’s grading + degree of necrosis points into mild, moderate and severe CTSI. RESULTS: 14 patients had mild, 14 had moderate and 17 patients had severe acute pancreatitis CTSI. Of 31 patients with pancreatic necrosis 26 (83.8%) patients showed complications and 5 (16.12%) patients were without complications. Of 14 patients without pancreatic necrosis only 5 (35.7%) patients were with complications and 9 (64%) were without complications. CONCLUSION: CT scan should be the investigation of choice if clinical diagnosis is acute pancreatitis and to assess the severity of disease to predict its course.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Diagnosis and Staging of Acute Pancreatitis on Multidetector Computed Tomography
    AU  - Sameera Vakil
    AU  - Hina Siddiqui
    AU  - Maria Hassan
    Y1  - 2019/08/28
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ijcm.20190303.12
    DO  - 10.11648/j.ijcm.20190303.12
    T2  - International Journal of Chinese Medicine
    JF  - International Journal of Chinese Medicine
    JO  - International Journal of Chinese Medicine
    SP  - 41
    EP  - 47
    PB  - Science Publishing Group
    SN  - 2578-9473
    UR  - https://doi.org/10.11648/j.ijcm.20190303.12
    AB  - INTRODUCTION: Acute pancreatitis is a protean disease with varying clinical findings from mild to severe. CT is the imaging modality of choice to help stage the severity of inflammatory processes, detect pancreatic necrosis and depict local complications. Objectives of this study was to evaluate the role of MDCT in diagnosis and staging of acute pancreatitis and to identify the complications of acute pancreatitis on CT scanning. MATERIAL AND METHODS: This was a descriptive study done from 26th September 2016 to 25th March 2017. 45 patients of age range 17-85 years (29 Male and 16 Female) were included in study. CT scans were assessed for pancreatic necrosis and its complications. Computed tomography severity index (CTSI) was calculated by Balthazar’s grading + degree of necrosis points into mild, moderate and severe CTSI. RESULTS: 14 patients had mild, 14 had moderate and 17 patients had severe acute pancreatitis CTSI. Of 31 patients with pancreatic necrosis 26 (83.8%) patients showed complications and 5 (16.12%) patients were without complications. Of 14 patients without pancreatic necrosis only 5 (35.7%) patients were with complications and 9 (64%) were without complications. CONCLUSION: CT scan should be the investigation of choice if clinical diagnosis is acute pancreatitis and to assess the severity of disease to predict its course.
    VL  - 3
    IS  - 3
    ER  - 

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Author Information
  • Department of Radiology, Dow University of Health Sciences, Karachi, Pakistan

  • Department of Radiology, Dow University of Health Sciences, Karachi, Pakistan

  • Department of Radiology, Dr Ziauddin Hospital, Karachi, Pakistan

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