Aims and objectives
to highlight the high utility and accuracy of the CT in assessing the diagnosis,
staging and detecting complications of acute pancreatitis
to help radiologists to incorporate the new lexicon into clinical practice using.
to focus on key imaging characteristics that help differentiate collections that often have a similar appearance,
and discuss imaging pitfalls.
Methods and materials
From February to September 2017,
we prospectively collected data from 48 patients with suspected acute pancreatitis.
Contrast Enhanced CT scan was performed within 48h after arrival at the hospital to detect local complications usinga 16 slice CT scan.
The following parameters for each episode of AP were collected: length of hospital stay,
in-hospital mortality,
duration of nil per os,
presence of organ failure and local complications such as peripancreatic fluid collections,
pseudocyst and necrosis.
Results
The mean age of a total of 48 patients was 53 years old (range,
21-83).
There was 33 women and 15 men.
42 patients presented with non-traumatic epigastric pain,
nausea,
vomiting,
of which and 20 with previous pancreatitis attack.
6 patients presented with trauma.
Mean lipasemia value was 1477,6 (range,
118-6736).
18 patients had infection signs (fever,
leucocytosis,
elevated CRP).
The Revised Atlanta Classification (RAC) distinguishes two phases of acute pancreatitis (AP):
an early phase (1st week) with subsequent edema,
vascular damage,
hemorrhage,
and pancreatic...
Conclusion
AP is an acute inflammatory disease of the pancreas caused by inappropriate intracellular activation of proteolytic enzymes with subsequent autodigestion of pancreatic tissue,
interstitial fat necrosis and necrotizing vasculitis.
The CTSI and the Modified CTSI are the most common grading systems.
They categorize the disease in mild,
moderate or severe AP using pancreaticcomplications only for the first or both pancreatic and extrapancreatic complications of the disease.
The RAC introduced new terminology to better characterize the morphologic and imaging features of necrotizing pancreatitis and its complications....
Personal information
Ghita Berrada,
Department of Radiology,
Ibn Rochd Hospital,
CHU Ibn Rochd,Casablanca,
Morocco,
[email protected]
Meriem Doumiri,Department of Radiology,
Ibn Rochd Hospital,
CHU Ibn Rochd,Casablanca,
Morocco,
[email protected]
Najwa Touil,Department of Radiology,
Ibn Rochd Hospital,
CHU Ibn Rochd,Casablanca,
Morocco,
[email protected]
Omar Kacimi,Department of Radiology,
Ibn Rochd Hospital,
CHU Ibn Rochd,Casablanca,
Morocco.
Nabil Chikhaoui,Department of Radiology,
Ibn Rochd Hospital,
CHU Ibn Rochd,Casablanca,
Morocco.
References
1.The Revised AtlantaClassification of Acute Pancreatitis: Its Importance for the Radiologist and Its Effect on Treatment,Ruedi F.
Thoeni et al.,Radiology: Volume 262: Number 3—March 2012,RSNA,
2012.
2.Revised Atlanta Classification forAcute Pancreatitis: A Pictorial Essay,Bryan R.
Foster et al,RadioGraphics 2016; 36:675–687,RSNA,
2016.
3.Computed Tomographic Prognostic Factors for PredictingLocal Complications in Patients With Pancreatic Necrosis,Carlos Ocampo et al.,Pancreas 2009; Volume 38,
Number 2: 137-142, ,
March 2009.
4.Acute Pancreatitis: Assessmentof Severity with Clinical and CT Evaluation,Emil J.
Balthazar et al.,Radiology ,
Volume 223,
Number 3,
June 2002,RSNA,...
