The correlation with the patient outcome of modified CT severity index (MCTSI) in evaluation of patients with acute pancreatitis with the currently accepted CT severity index (CTSI)

Abstract

Acute pancreatitis is an acute inflammatory process of the pancreas that can occur as an isolated event or relapsing episodes. Acute pancreatitis is a heterogeneous disease ranging from minimal pancreatic inflammation seen in mild interstitial pancreatitis to extensive pancreatic necrosis and liquefaction of severe attacks. Study group consists of 47 patient’s selected patients who were admitted, in whom the diagnosis of acute pancreatitis is made through available investigations (clinical investigations, serum amylase & ultrasound) who have got computed tomography done for the confirmation and prognostication. According to CTSI, of these 17 patients, 10 patients had mild, 6 patients had moderate and 1 patient had severe pancreatitis. 29% of patients who had mild pancreatitis had systemic infection, whereas systemic infection was seen in 50% and 100% of patients who had moderate and severe pancreatitis respectively (p=0.180).