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Diagnosis and Staging of Acute Pancreatitis on Multidetector Computed Tomography
International Journal of Chinese Medicine
Volume 3, Issue 3, September 2019, Pages: 41-47
Received: Jul. 5, 2019; Accepted: Aug. 7, 2019; Published: Aug. 28, 2019
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Sameera Vakil, Department of Radiology, Dow University of Health Sciences, Karachi, Pakistan
Hina Siddiqui, Department of Radiology, Dow University of Health Sciences, Karachi, Pakistan
Maria Hassan, Department of Radiology, Dr Ziauddin Hospital, Karachi, Pakistan
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INTRODUCTION: Acute pancreatitis is a protean disease with varying clinical findings from mild to severe. CT is the imaging modality of choice to help stage the severity of inflammatory processes, detect pancreatic necrosis and depict local complications. Objectives of this study was to evaluate the role of MDCT in diagnosis and staging of acute pancreatitis and to identify the complications of acute pancreatitis on CT scanning. MATERIAL AND METHODS: This was a descriptive study done from 26th September 2016 to 25th March 2017. 45 patients of age range 17-85 years (29 Male and 16 Female) were included in study. CT scans were assessed for pancreatic necrosis and its complications. Computed tomography severity index (CTSI) was calculated by Balthazar’s grading + degree of necrosis points into mild, moderate and severe CTSI. RESULTS: 14 patients had mild, 14 had moderate and 17 patients had severe acute pancreatitis CTSI. Of 31 patients with pancreatic necrosis 26 (83.8%) patients showed complications and 5 (16.12%) patients were without complications. Of 14 patients without pancreatic necrosis only 5 (35.7%) patients were with complications and 9 (64%) were without complications. CONCLUSION: CT scan should be the investigation of choice if clinical diagnosis is acute pancreatitis and to assess the severity of disease to predict its course.
Acute Pancreatitis, Multidetector Computed Tomography, Computed Tomography Severity Index (CTSI)
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Sameera Vakil, Hina Siddiqui, Maria Hassan, Diagnosis and Staging of Acute Pancreatitis on Multidetector Computed Tomography, International Journal of Chinese Medicine. Vol. 3, No. 3, 2019, pp. 41-47. doi: 10.11648/j.ijcm.20190303.12
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This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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