Keywords:
Abdominal Viscera, Gastrointestinal tract, Pancreas, MR, Cholangiography, Contrast agent-intravenous, Cysts, Inflammation, Retrospective, Observational, Performed at one institution
Authors:
C. Gullì1, A. Marrazzo1, G. Restaino2, M. Missere3, E. Cucci2, G. Sallustio3; 1Roma/IT, 2CAMPOBASSO/IT, 3Campobasso (CB)/IT
DOI:
10.26044/ecr2020/C-13446
Conclusion
The main result of the study is the presence of pancreatic abnormalities at s-MRCP in 76% of the subjects; according to those observed in other previous studies [3-10]. Therefore, based on our experience, s-MRCP is to be considered in the diagnostic work-up of patients with BPH.
The commonest s-MRCP finding in patients with BPH was chronic pancreatitis (65,7%), followed by SOD (31,7%) and acinar filling (9,5%). Despite everything, the pancreatic exocrine function was normal in 96,7% of patients.
To explain these alterations may be postulated different hypotheses involving intra-acinar disorders of the pancreatic exocytosis process and/or altered pancreatic juice outflow into the duodenum (not enough to trigger a clinical episode of pancreatitis, but sufficient to determine an increase of pancreatic enzymes into the blood) [16]. Supporting the last hypothesis could be the evidence of changes suggestive of chronic pancreatitis in 85% of subjects with SOD and in 95% of patients with acinar filling.