Contribution of Computed Tomography in the Management of Acute Necrotizing Pancreatitis

Aeberhard, P; Vock, P.; Keller, Andrew

doi:10.1007/978-3-642-68518-7_23

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Serial scans during the days of swinging pyrexia excluded a pancreatic abscess, avoiding the possibility of unnecessary exploratory laparotomy. The role of CT scans in the diagnosis and monitoring of acute necrotizing pancreatitis has been previously described and is used routinely in some centres (Aeberhard et al, 1982). The patient reported also showed the value of aggressive non-operative management in patients with grave prognostic indicators.…”

Section: Discussionmentioning

confidence: 81%

Survival after profound hypocalcaemia with tetany complicating severe haemorrhagic acute pancreatitis

Jones

1985

Postgraduate Medical Journal

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Summary:A patient is reported who developed severe haemorrhagic pancreatitis, without hyperamylasemia, which was compLicated by gross hypocalcaemia presenting as tetany. Tetany is very uncommon in acute pancreatitis and is a grave prognostic indicator, recovery being exceptionaly rare. The mechanisms responsible for disordered calcimn homeostasis associated with acute pancreatitis are reviewed. CT scanning was an important feature of this patient's management and its role in severe pancreatitis is discussed.

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Section: Discussionmentioning

confidence: 81%

Survival after profound hypocalcaemia with tetany complicating severe haemorrhagic acute pancreatitis

Jones

1985

Postgraduate Medical Journal

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Management of complicated acute pancreatitis: Impact of computed tomography

Fan

Choi

Chan

et al. 1990

J of Gastro and Hepatol

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The usefulness of computed tomography (CT) in guiding the management of 43 patients who had a complicated clinical course of acute pancreatitis was retrospectively studied. The CT scans were performed when patients had persistent fever, leucocytosis, hyperamylasaemia, palpable abdominal masses or when there was organ failure. The CT scans showed normal findings in six patients, features of pancreatic abscess in three patients, pseudocysts in three patients and inflammatory masses (a mixture of sterile inflammation and necrosis) in 31 patients. Patients with pancreatic abscesses underwent emergency laparotomy, drainage and debridement; patients with pseudocysts had delayed drainage unless complication occurred; patients with normal CT scan or findings of inflammatory masses were managed conservatively. For patients undergoing conservative management, repeated CT scanning and percutaneous aspiration of the inflammatory mass was performed when pancreatic sepsis was strongly suspected. By this approach, basing on careful clinical and CT scan surveillance, five patients with pancreatic sepsis (pancreatic abscess and localized abscess collection in pseudocyst) underwent emergency surgery and four survived, while 25 patients with inflammatory masses were successfully managed conservatively and some who may have been operated on clinical grounds were spared unnecessary early debridement surgery.

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Contribution of Computed Tomography in the Management of Acute Necrotizing Pancreatitis

Cited by 2 publications

References 7 publications

Survival after profound hypocalcaemia with tetany complicating severe haemorrhagic acute pancreatitis

Survival after profound hypocalcaemia with tetany complicating severe haemorrhagic acute pancreatitis

Management of complicated acute pancreatitis: Impact of computed tomography

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