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.
Highlights
Acute pancreatitis is a protean disease with varying clinical findings from mild to severe
Contrast enhanced computed tomography (CT) is the imaging modality of choice to help stage the severity of inflammatory processes, detect pancreatic necrosis and depict local complications. [5]
The relationship between CT severity index (CTSI) and age of patients and complications is summarized in table 2
Summary
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. 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. Acute pancreatitis is an acute inflammatory process of the pancreas with variable clinical manifestations. These range in the degree of severity from mild abdominal pain to severe life-threatening disease associated with high morbidity and mortality. Management of patients with acute pancreatitis is based on the early assessment of severity of disease. Initial staging is established on clinical and laboratory grounds and on the findings of contrast enhanced computed tomography (CT) imaging. [4]
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