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Case Studies | Radiology and Medical Imaging Sciences | India | Volume 13 Issue 6, June 2024 | Popularity: 5.6 / 10
Key Role of Radiology in Imaging and Managing Acute Pancreatitis and its Complications
Dr. Lavanya Sai R., Dr. C. Sai Sangamesh, Dr. Chethan T. N.
Abstract: Learning Objectives: 1. To diagnose a case of acute pancreatitis, identify and classify its complications by imaging studies based on revised Atlanta classification and differentiate it from other causes of acute abdomen. 2. To intervene in select cases of peripancreatic collections to drain them through interventional procedure. Background: Pancreatitis is an inflammatory process in which pancreatic enzymes auto digest the gland. Imaging modalities plays a primary role in management of acute pancreatitis. CT confirms the diagnosis and detects the severity of disease. Laboratory tests (serum amylase and lipase) are obtained to support the clinical impression, to help define the aetiology, and to look for complications. Recognizing the patients with severe acute pancreatitis and its complications is critical for achieving optimal outcomes. Imaging Findings: CECT abdomen and pelvis helped to differentiate between acute interstitial oedematous versus necrotizing pancreatitis. It also showed complications like acute pancreatic/ peripancreatic fluid collection, pseudocyst & walled off necrosis & differentiated between these collections based on revised Atlanta classification. Conclusion: Acute pancreatitis is associated with a wide variety of complications affecting the pancreatic gland, pancreatic duct, peripancreatic planes and surrounding vasculature. The role of the radiologist in imaging of acute pancreatitis and its complications is to select the most appropriate imaging techniques, timing of study and to diagnose local complications that will guide management decisions and reduce morbidity & mortality.
Keywords: Acute pancreatitis (AP), Computed tomography (CT), Interstitial oedematous pancreatitis, Necrotizing Pancreatitis
Edition: Volume 13 Issue 6, June 2024
Pages: 1600 - 1605