Acute pancreatitis is a sudden inflammation of the pancreas connected with inappropriate activation of proenzymes, what may lead to various severity damage of adjacent tissues and distant organs. Main clinical symptoms of acute pancreatitis are: severe abdominal pain (epigastric region) – radiating to the back, nausea and vomiting (worsened with eating), fever, reduction of bowel sounds. Recognition and evaluation of acute pancreatitis undeniably require radiological diagnosis, where Computed Tomography with intravenous contrast agents is considered the gold standard procedure. However Computed Tomography is not recommended...

Inclusion criteria was CT image description containing radiological analysis in each of the 4 scales: Balthazar, CTSI, EPIC and Mortele, taken after 72 hours from the diagnosis. Cases of 130 patients with a single episode of the non-alcoholic pancreatitis in time of 1st January 2010 to 31th November 2012, were analyzed. 25 patients didn’t meet the inclusion criteria. 105 patients were included in the statistical analysis (45 males and 60 females, aged 24-84, average age: 57.5), who were mostly (78 patients) diagnosed with biliary pancreatitis....

Among patients diagnosed with acute pancreatitis, hospitalized in the Department of Gastrointestinal Surgery at the Medical University of Silesia in Katowice the most frequent score aquired with radiological scales in both gender groups was Balthazar C (54.3%), CTSI 2 pts. (32.4%) and 4 pts. (26.6%), EPIC 2, 3 and 7 pts (respectively 17%), Mortele 4 pts. (37%). Median grade for both gender groups separately was Balthazar C for males and females, CTSI 4 pts. for males and 3 pts. for females, Mortele 6 pts. for...

Level of significance (p-value) was higher than 0,05 in every executed test – study has not revealed statistically significant relationship between gender and severity rate of the nonalcoholic acute pancreatitis. Most patients evaluated with radiological scales were diagnosed with medium grade severity acute pancreatitis and extrapancreatic inflammation was described to be the most frequent, thus it is highly recommended to use more than one radiological scale, because they complement each other in the accurate evaluation of acute pancreatitis – precisely define patient’s condition, severity of...

RanvirSinghMD, TahirMughalMD, PankajSinghMD, MeherMadhounMD, AngeloFernandesMDand SimmyBankMD.: Gender as an independent predictor of severe acute pancreatitis. The American Journal of Gastroenterology(2003)98, S68; Paul Georg Lankisch,Christine Assmus, Dirk Lehnick, Patrick Maisonneuve, Albert B. Lowenfels: Acute Pancreatitis: Does Gender Matter? Digestive Diseases and Sciences, November 2001,Volume 46,Issue 11,pp 2470-2474; Pezzilli R,Billi P,Morselli-Labate AM.: Severity of acute pancreatitis: relationship with etiology, sex and age. Hepatogastroenterology.1998 Sep-Oct;45(23):1859-64. Bollen TL,Singh VK,Maurer R,Repas K,van Es HW,Banks PA,Mortele KJ.: A comparative evaluation of radiologic and clinical scoring systems in the early prediction of...

M. Stasiulewicz1, A. M. Matlak3, K. Ludwik4, K. Mendrala5, R. Bablok4, J. Pilch-Kowalczyk2, M. Korzekwa2, J. Baron2; 1) Medical University of Silesia - Medical Department in Katowice. Poniatowskiego 15, 40-055 Katowice, Poland. 2) Department of Radiology and Nuclear Medicine, Medical University of Silesia.Medykow 14,40-752 Katowice, Poland. 3) District Hospital in Katowice. Panewnicka 65, Katowice, Poland. 4) Ministry of Interior Hospital in Katowice. Glowackiego 10, 40-052 Katowice. 5) J. Dietl Specialist Hospital, Skarbowa 4,31-121Krakow, Poland