title: The scintigraphic "duodenal cut off sign" in acute pancreatitis.
abstract: Acute pancreatitis is a dreaded complication of biliary calculus disease, and several radiographic signs have been reported in association with this condition. We report a new sign demonstrated on hepatobiliary scintigraphy, the duodenal cut off sign, seen in a patient being evaluated for stone disease and later found to have acute pancreatitis. Hepatobiliary scans are commonly performed during the initial evaluation of patients with suspected calculus disease, and visualization of this sign may indicate to the clinician that he is dealing with a more serious condition.
authors.affiliation: Department of Radiology and Nuclear Medicine, Tripler Army Medical Center, Honolulu, Hawaii 96859.
authors.forename: D J
authors.initials: DJ
authors.lastname: Shanley
authors.forename: A B
authors.initials: AB
authors.lastname: Buckner
authors.forename: H G
authors.initials: HG
authors.lastname: Alexander
mesh_terms: D000208:Acute Disease; D000328:Adult; D000814:Aniline Compounds; D004386:Duodenum / Q000000981:diagnostic imaging*; D005260:Female; D005998:Glycine; D006801:Humans; D007098:Imino Acids; D015609:Organotechnetium Compounds; D010195:Pancreatitis / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging
chemical_list: D000814:Aniline Compounds; D007098:Imino Acids; D015609:Organotechnetium Compounds; C034837:technetium Tc 99m mebrofenin; D005998:Glycine