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Title Acute pancreatitis: clinical vs. CT findings
Creator/Author Hill, M.C. (Univ. of Miami, FL) ; Barkin, J. ; Isikoff, M.B. ; Silver stein, W. ; Kalser, M.
Publication Date1982 Aug 01
OSTI IdentifierOSTI ID: 6783243
Other Number(s)CODEN: AAJRD
Resource TypeJournal Article
Resource RelationAJR, Am. J. Roentgenol. ; Vol/Issue: 139:2
Subject550602 -- Medicine-- External Radiation in Diagnostics-- (1980-); ;DIAGNOSTIC TECHNIQUES-- COMPARATIVE EVALUATIONS;PANCREAS-- COMPUTERIZED TOMOGRAPHY; DIAGNOSIS;DISEASES;MEDICAL EXAMINATIONS;PATIENTS;SYMPTOMS
Related SubjectBODY;DIAGNOSTIC TECHNIQUES;DIGESTIVE SYSTEM;ENDOCRINE GLANDS;GLANDS;ORGANS;TOMOGRAPHY
Description/Abstract In a prospective study of 91 patients with acute pancreatitis, computed tomographic (CT) findings were correlated with the clinical type of acute pancreatitis.^ In acute edematous pancreatitis (63 patients; 16 with repeat CT), CT was normal (28%) or showed inflammation limited to the pancreas (61%).^ Phlegmonous changes were present in 11%, including one patient with focal pancreatic hemorrhage, indicating that clinically unsuspected hemorrhagic pancreatitis can occur.^ In acute necrotizing (hemorrhagic, suppurative) pancreatitis (nine patients; eight with repeat CT), no patient had a normal CT scan and 89% had phlegmonous changes.^ One patient had hemorrhagic pancreatitis and three had abscesses.^ In acute exacerbation of chronic pancreatitis (10 patients; three with repeat CT), there were pancreatic calcifications (70%), a focal mass (40%), and pancreatic ductal dilation (30%).^ On follow-up CT, the findings of acute pancreatitis did not always disappear with resolution of the clinical symptons.^ This was especialy true of phlegmonous pancreatitis, where the CT findings could persist for months.
Country of PublicationUnited States
LanguageEnglish
FormatPages: 263-269
System Entry Date2001 May 13

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