COMPLICATIONS OF PANCREATITIS- CT EVALUATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 14
Abstract
BACKGROUND Acute pancreatitis is a common condition with variable clinical course. Imaging studies play an important role in diagnosis and management of acute pancreatitis. Computed Tomography (CT) is undertaken to determine the role of CT in acute pancreatitis, to differentiate between oedematous and necrotising pancreatitis and to evaluate the complications and severity using Modified Computed Tomography Severity Index (MCTSI). MATERIALS AND METHODS This is a prospective observational study. Sixty patients with clinical suspicion of acute pancreatitis underwent contrast enhanced CT during two years period. MCTSI score for acute pancreatitis was calculated which includes assessment of pancreatic inflammation, necrosis and extrapancreatic complications. RESULTS Peripancreatic fat stranding was the common feature seen in 90% patients. Extrapancreatic complications were noted in 32 (53%) patients and pancreatic necrosis in 20 (33%) patients. CONCLUSION CECT of abdomen in acute pancreatitis helps in differentiating between oedematous and necrotising pancreatitis. The MCTSI helps in evaluating the percentage of pancreatic necrosis and to predict the possibility of developing local and systemic complications. Depending upon the MCTSI grading, the treatment plan can be implemented more effectively and accurately.
Authors and Affiliations
Anjali Pravinkumar Wasadikar, Vijay Devji Wakode, Varsha Jagannath Rote-Kaginalkar, Pravinkumar Prabhakar Wasadikar, Anjali Pawar-Dahiphale, Kavita Ramrao Makasare
Keywords
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- EP ID EP414369
- DOI 10.14260/jemds/2018/405
- Views 77
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