Role of Computed Tomography in Predicting Severity of Acute Pancreatitis and its Correlation with Clinical Outcome

Sawarkar, Kapil; Shaha, Pramod; Narayan, Ruchi; Chavan, D B; More, Dhanashree; Biyani, Aniruddha

doi:10.21276/ijcmr.2019.6.2.45

Cited by 1 publication

(1 citation statement)

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“…In Bader HA et al 15 study, amylase level less than or equal to 210 U/l was seen in 29 (29%) patients and more than 210 U/l in 71 (71%) patients, whereas lipase level less than or equal to 180 U/l in 20 (20%) patients and more than 180 U/l in 80 (80%) patients was seen. Sawarkar K et al 18 in their study observed elevated serum lipase and serum amylase levels in all the cases.…”

Section: Etiology Of Acute Pancreatitismentioning

confidence: 78%

Usefulness of Computerized Tomography Scan for the Detection and Evaluation of Acute Pancreatitis

Murthy¹,

Somasekhar²

2020

IJCMSR

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Introduction: Acute pancreatitis is one of the most common diseases of the gastrointestinal tract. Imaging by CT scan helps in diagnosing severity of acute pancreatitis including the presence of pancreatic necrosis as well as local and systemic complications. Current study aimed to study the use of CT scan for the detection and evaluation of acute pancreatitis. Material and Methods: A total of 110 patients diagnosed clinically with acute pancreatitis were studied for patient demographics, clinical presentation, etiology and CT scan findings. Results: A ttal of 110 patients with age ranging from 15 years to 60 years were studied. The male to female ratio was 2.1:1. Most (59%) of the cases were in the 41 to 50 years age. Epigastric pain and vomiting were the most common clinical features. Gall stones and alcoholism were the most common etiological factors for acute pancreatitis. CT findings showed diffuse enlargement in 43.6% cases, and irregular contour in 63.6% cases. Ascites and pleural effusion were noted in 31.8% cases. Balthazar's CTSI system gave better results than the Ranson's criteria. Conclusion: Acute pancreatitis commonly affects adult males. CT scan plays an important role in diagnosing acute pancreatitis and Balthazar's CTSI system is advantageous over the Ranson's criteria system. The CT modality gives information on the severity and extent of the inflammatory process and thereby helps in decision making for patient management.

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Section: Etiology Of Acute Pancreatitismentioning

confidence: 78%