CT demonstration of the splenic vein-pancreatic relationship: the pseudodilated pancreatic duct

Seidelmann, FE; Wn, Cohen; Bryan, PJ; Brown, Jason

doi:10.2214/ajr.129.1.17

Cited by 20 publications

(4 citation statements)

References 3 publications

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“…In previous studies, a dilated pancreatic duct was found both in the patients with acute pancreatitis and in those with chronic pancreatitis. [23][24][25] According to our experience, most of the patients with pancreatitis have a dilated pancreatic duct as compared to age-matched controls. We further found that the diameters in patients with chronic pancreatitis were greater than those in patients with acute pancreatitis.…”

Section: Discussionmentioning

confidence: 91%

“…Several imaging studies, including CT, MR imaging, ERCP, and PTC, are considered useful in evaluating pancreatic duct in children. CT [21][22][23][24] and MRCP [27][28][29][30] are valuable in the detection of pancreatic duct dilatation, but they are expensive and not readily available. MRCP had been carried out successfully to localize the stenosis and occlusion of the pancreatic duct 21 and to detect anomalies of pancreaticobiliary junction.…”

Section: Discussionmentioning

confidence: 99%

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Sonographic evaluation of the pancreatic duct in normal children and children with pancreatitis.

Chao

Lin

Kong

et al. 2000

Journal of Ultrasound in Medicine

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We investigated the diameter of pancreatic duct using ultrasonography in 51 children with pancreatitis and age-matched healthy control children over a 5 year period. The diameters of pancreatic duct and pancreatic body were measured simultaneously by sonography. The mean ages of children with acute pancreatitis and chronic pancreatitis were 9.7 +/- 3.9 and 10.3 +/- 3.1 years, respectively (range, 1 to 8 years). The mean age of normal children was 9.6 +/- 5.3 years. A significant difference was found in diameter of the pancreatic duct between children with acute and chronic pancreatitis versus that of age-matched control. In addition, a significant difference in diameter of the pancreatic body was found between children with acute pancreatitis and age-matched controls, but there was no marked difference in diameter of the pancreatic body between normal persons and those with chronic pancreatitis. The mean diameters of the pancreatic duct in acute pancreatitis and chronic pancreatitis were 2.34 +/- 0.47 mm and 2.84 +/- 0.67 mm, respectively, which was greater than that of normal children (1.65 +/- 0.45 mm). Pancreatic ducts with diameters greater than 1.5 mm in children between 1 and 6 years, greater than 1.9 mm at ages 7 to 12 years, or greater than 2.2 mm at ages 13 to 18 years were significantly associated with the presence of acute pancreatitis. Thirty-two patients, including 25 with acute pancreatitis and 7 with chronic pancreatitis, underwent follow-up measurement of pancreatic duct and serum lipase examination on at least three occasions. A good correlation between the diameter of pancreatic duct and serum lipase level was found. Thus, ultrasonography of the pancreatic duct is valuable in diagnosis and monitoring of pancreatitis in children.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Sonographic evaluation of the pancreatic duct in normal children and children with pancreatitis.

Chao

Lin

Kong

et al. 2000

Journal of Ultrasound in Medicine

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“…Pancreas duct dilatation was not detectable with CT; in 3 cases a pseudodilated pancreatic duct [11] was found.…”

Section: Ratio Of Vertebral Body-pancreas Diametermentioning

confidence: 93%

Age-related morphology of the normal pancreas on computed tomography

Heuck

Maubach

Reiser

et al. 1987

Gastrointest Radiol

100

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“…In our group, we had a similar percentage of 40%. The splenic hilus was determined by the visualiza tion of the splenic artery and vein as suggested by Seidelmann et al [1977] and Neumann and Hessel [1980]. In none of these studies were the length of the lienorenal liga ment and the penetration of the pancreatic tail into it evaluated.…”

Section: Discussionmentioning

confidence: 99%

Anatomical and Computed Tomographic Studies of the Pancreatic Tail

Rosen¹,

Shikiar

Nathan

et al. 1988

Cells Tissues Organs

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The location of the pancreatic tail in the lienorenal ligament and its relationship to the splenic hilus were studied in 32 computed tomography (CT) scannings and in 37 autopsy specimens. We found several anatomical variations in both study groups: the pancreatic tail did not penetrate the lienorenal ligament in 24% of the autopsy specimens and in 37.5% of the CT group. The tail was adjacent to the splenic hilus in 29.7% of the autopsies and in 25% of the CT group. We classified the anatomical variations into 4 categories, three of which could be well demonstrated on CTwith satisfactory correlation to the anatomical findings of the autopsy specimens.

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CT demonstration of the splenic vein-pancreatic relationship: the pseudodilated pancreatic duct

Cited by 20 publications

References 3 publications

Sonographic evaluation of the pancreatic duct in normal children and children with pancreatitis.

Sonographic evaluation of the pancreatic duct in normal children and children with pancreatitis.

Age-related morphology of the normal pancreas on computed tomography

Anatomical and Computed Tomographic Studies of the Pancreatic Tail

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