A New Method for the Diagnosis of Acute Hemorrhagic-necrotizing Pancreatitis Using Contrast-enhanced CT

Overview

Journal Gastrointest Radiol

Specialties Gastroenterology
Radiology

Date 1984 Jan 1

PMID 6724235

Citations 13

Authors

L Kivisaari

K Somer

T Schroder

E Kivilaakso

M Lempinen

Affiliations

Soon will be listed here.

Abstract

Twenty-eight consecutive patients with a first attack of alcohol-induced pancreatitis were studied using contrast-enhanced CT. The findings on CT were then related to the course of the disease. The patients with acute hemorrhagic-necrotizing pancreatitis showed significantly lower enhancement values of the pancreatic parenchyma than those with milder forms of the disease. The next 20 patients with severe pancreatitis were scanned using a slightly modified procedure. The enhancement values were calculated and plotted on the graphs for the 2 former groups. Two categories of pancreatic enhancement were found: "low enhancement" and "high enhancement." In all 10 patients with "low-enhancement" values surgery revealed hemorrhagic-necrotizing pancreatitis. In the 10 patients with "high-enhancement" values conservative treatment was continued, and the clinical course was nonfulminant in all of them.

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