[Prognostic value of early CT examination for evaluating duration and complications in acute pancreatitis].
In 47 patients with acute pancreatitis abdominal CT scans at admission (< 72 hrs) and control CT scans (2-4 week) were performed. We evaluated degree of pancreatic swelling on the ground of pancreatic size index (anterio-posterior size of head x anterio-posterior size of body), extent of peripancreatic inflammatory changes and presence of local complications. We demonstrated a high frequency of pancreatic abscess in patients with peripancreatic inflammatory changes in initiàl CT scans and in patients with high degree of pancreatic swelling (wt > 10 cm2). Early CT had a sensitivity of 80 percent and specificity of 100 percent for abscess development when these two prognostic factors were considered. It show that early CT has a significant value in establishing prognosis in patients with acute pancreatitis.
Tarasów
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E
Zakładu Radiologii Akademii Medycznej w Białymstoku.
Szulc
S
S
Kubas
B
B
D018784:Abdominal Abscess / Q000000981:diagnostic imaging* / Q000209:etiology; D000208:Acute Disease; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D010195:Pancreatitis / Q000150:complications / Q000000981:diagnostic imaging*; D011379:Prognosis; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed