Do plain films of the chest and abdomen have a role in the diagnosis of acute pancreatitis?

Millward, S.F.; Breatnach, E; Simpkins, K.C.; McMahon, M. J.

doi:10.1016/s0009-9260(83)80290-6

Cited by 13 publications

(13 citation statements)

References 13 publications

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“…Findings of acute pancreatitis on abdominal radiographs include the “colon cut off” and “sentinel loop” signs, as well as focal duodenal ileus, each a result of focal involvement of bowel adjacent to the pancreas. Gastric dilatation, a gasless abdomen, loss of psoas muscle margins and epigastric soft tissue fullness can also be seen . Unfortunately, these findings are neither specific nor sensitive 22.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…Gastric dilatation, a gasless abdomen, loss of psoas muscle margins and epigastric soft tissue fullness can also be seen . Unfortunately, these findings are neither specific nor sensitive 22. The “soap bubble” appearance of gas in the pancreatic bed, indicating an infection or a fistula, is specific for severe pancreatitis but is uncommon 25.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…The “soap bubble” appearance of gas in the pancreatic bed, indicating an infection or a fistula, is specific for severe pancreatitis but is uncommon 25. Up to 70% of patients with severe pancreatitis will have abnormal, but nonspecific, chest radiographs 22,25. The most common finding is a pleural effusion, usually left‐sided, which has been correlated with a more severe course of the disease 26,27.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

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Imaging and imaging-guided therapy in severe acute pancreatitis

Carpenter

Freeny

1996

J Hep Bil Pancr Surg

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Effective utilization of imaging in patients with severe acute pancreatitis requires an understanding of the subtypes and complications of pancreatitis. Imaging, particularly computed tomography, can confirm the diagnosis of pancreatitis, identify local complications, offer prognostic information, and guide therapeutic interventions. Conventional radiography, ultrasound, endoscopic retrograde cholangiopancreatography, and magnetic resonance imaging have important adjunctive roles in the evaluation and treatment of patients with severe acute pancreatitis. Early identification of pancreatic parenchymal necrosis and areas of infection facilitates timely and appropriate management of these often critically ill patients. Imaging-guided interventions can provide definitive or adjunctive treatment for fluid collections, biliary and pancreatic duct obstruction, and vascular complications.

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Section: Diagnostic Imagingmentioning

confidence: 99%

Section: Diagnostic Imagingmentioning

confidence: 99%

Section: Diagnostic Imagingmentioning

confidence: 99%

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Imaging and imaging-guided therapy in severe acute pancreatitis

Carpenter

Freeny

1996

J Hep Bil Pancr Surg

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“…They are positive only in severe disease and that too in very few cases. 4 During an early period of an episode of acute pancreatitis, ultrasonography should be done. This is done to rule out the presence of stones in the gall bladder and common duct.…”

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confidence: 99%

A hospital based cross sectional study of acute pancreatitis with special reference to computed tomographic evaluation

Jyothi

Karpur

2018

Int J Adv Med

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Background: All suspected cases of acute pancreatitis should undergo CT scan. It is non invasive and reliable. CT scan is able to give complete picture of acute pancreatitis. The objective of the presentMethods: The present study was hospital based. 60 cases with evidence of acute pancreatitis were included. They were studied for 3 years from June 2015 to May 2018. CT scan was performed in all cases. CT features of the pancreas were noted and described.Results: Acute pancreatitis incidence was four times more in males compared to females i.e. 80% vs. 20%. CT scan showed that pancreatic gland was normal only in 16.7% of the cases. The contour was irregular in 66.7% of the cases. Eight cases showed necrosis. Less than 30% three patients (10%) had grade A acute pancreatitis. 28 cases were showing Phlegmonous changes. In 24 cases it was observed that lesser sac was affected.Conclusions: Authors conclude that for grading and staging of the pancreatitis of acute nature, CT scan is must and is very helpful to the clinicians. CT scan helps not only in precise diagnosis but also in predicting the proper prognosis of the patients who are affected by the pancreatitis of acute in nature.

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“…The diagnosis is initially based on clinical signs and is supported by elevated serum amylase [2], An indisputable standard in diagnosis is lacking [1], Conventional radio logical investigations yield only little infor mation in acute pancreatitis [3] and ultra sonography is often hampered by intestinal gas [4,5], Prognosis of a single attack can be made using Ranson's prognostic signs [6] but full evaluation is not obtained until after 48 h.…”

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confidence: 99%

Early Diagnosis and Classification in Acute Pancreatitis

Hjelmqvist

Wattsgård²,

Borgström³

et al. 1989

Digestion

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The clinical outcome in 52 consecutive episodes of suspected acute pancreatitis was compared with Ranson’s prognostic signs and findings on noncontrast and contrast-enhanced computed tomography (CT) scans performed within 24 h of patient admission. The predictive value of CT scan for diagnosis was 95% for positive results and 53% for negative results. In providing an accurate prognosis of a single attack, scoring of extrapancreatic signs was as good as that of Ranson’s prognostic signs. CT with contrast medium revealed pancreatic ischaemia in 3 cases of 4 with clinically severe disease. The risk of developing severe pancreatitis was 23% in first attacks and 6% in relapses. Early CT scan is recommended in most patients with suspected pancreatitis to confirm diagnosis and to predict the severity of an attack.

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Do plain films of the chest and abdomen have a role in the diagnosis of acute pancreatitis?

Cited by 13 publications

References 13 publications

Imaging and imaging-guided therapy in severe acute pancreatitis

Imaging and imaging-guided therapy in severe acute pancreatitis

A hospital based cross sectional study of acute pancreatitis with special reference to computed tomographic evaluation

Early Diagnosis and Classification in Acute Pancreatitis

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