Computerized tomography in acute and chronic pancreatitis

Journal Article · Thu Nov 01 04:00:00 EST 1984 · South. Med. J.; (United States)

DOI:https://doi.org/10.1097/00007611-198411000-00011· OSTI ID:6028633

Kalmar, J A; Matthews, C C; Bishop, L A

Modern imaging techniques have revolutionized the diagnostic evaluation of pancreatitis, primarily demonstrating its complications. Computerized tomography (CT) is a more sensitive method than ultrasonography and pancreatic ductography. A chart review revealed 214 patients at our hospital with a discharge diagnosis of pancreatitis. Sixty patients had CT for evaluation of possible complications. Only five scans were normal. Of 37 cases of acute pancreatitis, 92% demonstrated localized or diffuse enlargement, and 65% showed loss of pancreatic outline. Other frequent findings included thickening of perirenal fascia (49%), ileus (43%), edema of mesentery (35%), and inflammatory exudate (32%). Abscess and pseudocyst were each detected in 8% of cases. In chronic pancreatitis 65% of patients showed localized or diffuse pancreatic enlargement. Atrophy of the gland (30%), calcification (30%), pseudocyst (26%), and dilated pancreatic ducts (17%) were also seen. CT is effective in evaluating pancreatitis and its complications. 14 references, 5 figures, 2 tables.

• Research Organization: Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA
• OSTI ID: 6028633
• Journal Information: South. Med. J.; (United States), Journal Name: South. Med. J.; (United States) Vol. 77:11; ISSN SMJOA
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
BODY
COMPUTERIZED TOMOGRAPHY
DATA
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DIGESTIVE SYSTEM DISEASES
DISEASES
ENDOCRINE GLANDS
EXPERIMENTAL DATA
GLANDS
INFLAMMATION
INFORMATION
MALFORMATIONS
NUMERICAL DATA
ORGANS
PANCREAS
PATHOLOGICAL CHANGES
PATIENTS
SYMPTOMS
TOMOGRAPHY