Advertisement

Acute Pancreatitis

  • J. Drouillard
  • F. Laurent
Part of the Medical Radiology book series (MEDRAD)

Abstract

Acute pancreatitis was defined by the Cambridge Symposium as “an acute inflammatory disease of the pancreas typically causing abdominal pain and usually associated with raised pancreatic enzymes in blood or urine” (Sarner and Cotton 1984). The Marseille Symposium included in its definition a morphologic criterion and graded acute pancreatitis depending on its degree of severity (Sarner and Cotton 1984).

Keywords

Acute Pancreatitis Pancreatic Duct Fluid Collection Percutaneous Drainage Pararenal Space 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Amouyal P, Palazzo L, Amouyal G, et al. (1989) Endosonography: promising method for diagnosis of extrahepatic cholestasis. Lancet 11:1195–1198CrossRefGoogle Scholar
  2. Balthazar EJ (1989) CT diagnosis and staging of acute pancreatitis. Radiol Clin North Am 27:19–37PubMedGoogle Scholar
  3. Balthazar EJ, Ranson JHC, Naidich DP, Megibow AJ, Caccavale R, Cooper MM (1985) Acute pancreatitis: prognostic value of CT. Radiology 156:767–772PubMedGoogle Scholar
  4. Balthazar EJ, Robinson DL, Megibow AJ, Ranson JHC (1990) Acute pancreatitis: value of CT in establishing prognosis. Radiology 174:331–336PubMedGoogle Scholar
  5. Büchler M, Malfertheiner P, Beger HG (1986) Correlation of imaging procedures, biochemical parameters, and clinical stage in acute pancreatitis. In: Malfertheiner P, Ditschuneit H (eds) Diagnostic procedures in pancreatic disease. Springer, Berlin Heidelberg New York, p 123CrossRefGoogle Scholar
  6. Burke JW, Erickson SJ, Kellum CD, Tegtmeyer CJ, Williamson RJ, Hansen MF (1986) Pseudoaneurysms complicating pancreatitis: detection by CT. Radiology 161:447–450PubMedGoogle Scholar
  7. Clavien PA, Hauser H, Meyer P, Rohner A (1988) Value of contrast-enhanced computerized tomography in the early diagnosis and prognosis of acute pancreatitis. A prospective study of 202 patients. Am J Surg 155:457–466PubMedCrossRefGoogle Scholar
  8. Federle MP, Jeffrey RB, Crass RA, Van Dalsem V (1981) Computed tomography of pancreatic abscesses. AJR 136:879–882PubMedGoogle Scholar
  9. Freise J (1987) Evaluation of sonography in the diagnosis of acute pancreatitis. In: Beger HG, Büchler M (eds) Acute pancreatitis. Springer, Berlin Heidelberg New York, p 118CrossRefGoogle Scholar
  10. Ghiatas AA, Nguyen VD, Perusek M (1990) Subcutaneous soft tissue densities: a computed tomography indicator of severe pancreatitis. Gastrointest Radiol 15:17–21PubMedCrossRefGoogle Scholar
  11. Hashimoto BE, Laing FC, Jeffrey RB Jr, Federle MP (1984) Hemorrhagic pancreatic fluid collections examined by ultrasound. Radiology 150:803–808PubMedGoogle Scholar
  12. Hill MC, Barkin J, Isikoff MB, Silverstein W, Kaiser M (1982) Acute pancreatitis: clinical vs. CT findings. AJR 139:263–269PubMedGoogle Scholar
  13. Isikoff MB, Hill MC, Silverstein W, Barkin J (1981) The clinical significance of acute pancreatic hemorrhage. AJR 136:679–684PubMedGoogle Scholar
  14. Jeffrey RB Jr (1989) Sonography in acute pancreatitis. Radiol Clin North Am 27:5–17PubMedGoogle Scholar
  15. Jeffrey RB Jr, Federle MP, Laing FC (1983) Computed tomography of mesenteric involvement in fulminant pancreatitis. Radiology 147:185–188PubMedGoogle Scholar
  16. Jeffrey RB Jr, Laing FC, Wing VW (1986) Extrapancreatic spread of acute pancreatitis: new observations with real-time US. Radiology 159:707–711PubMedGoogle Scholar
  17. Johnson CD, Stephens DH, Sarr MG (1991) CT of acute pancreatitis: correlation between lack of contrast enhancement and pancreatic necrosis. AJR 156:93–95PubMedGoogle Scholar
  18. Kane NM, Korobkin M, Francis IR, Quint LE, Cascade PN (1991) Percutaneous biopsy of left adrenal masses: prevalence of pancreatitis after anterior approach. AJR 157:777–780PubMedGoogle Scholar
  19. Karlson KB, Martin EC, Fankuchen EI, Mattern RF, Schultz RW, Casarella WJ (1982) Percutaneous drainage of pancreatic pseudocysts and abscesses. Radiology 142:619–624PubMedGoogle Scholar
  20. Kishimoto W, Nakao A, Takagi H, Hayakawa T (1989) Acute pancreatitis after transcatheter arterial embolization (TAE) for hepatocellular carcinoma. Am J Gastroenterol 84:1396–1399PubMedGoogle Scholar
  21. Kivisaari L, Somer K, Standertskjöld-Nordenstam CG, Schröder T, Kivilaakso E, Lempinen M (1984) A new method for the diagnosis of acute hemorrhagic-necrotizing pancreatitis using contrast-enhanced CT. Gastrointest Radiol 9:27–30PubMedCrossRefGoogle Scholar
  22. Kuhlman JE, Fishman EK, Milligan FD, Siegelman SS (1989) Complications of endoscopic retrograde sphincterotomy: computed tomographic evaluation. Gastrointest Radiol 14:127–132PubMedCrossRefGoogle Scholar
  23. Lee MJ, Saini S, Geller SC, Warshaw AL, Mueller PR (1991) Pancreatitis with pseudoaneurysm formation: a pitfall for the interventional radiologist. AJR 156: 97–98PubMedGoogle Scholar
  24. Lee MJ, Rattner DW, Legemate DA, et al. (1992) Acute complicated pancreatitis: redefining the role of interventional radiology. Radiology 183:171–174PubMedGoogle Scholar
  25. Leung JWC, Mok SD, Metreweli C (1987) Ascarisinduced pancreatitis. AJR 149:511–512PubMedGoogle Scholar
  26. Maier W (1986) Grading of acute pancreatitis by computed tomography morphology. In: Malfertheiner P, Ditschuneit H (eds) Diagnostic procedures in pancreatic disease. Springer, Berlin Heidelberg New York, p 44CrossRefGoogle Scholar
  27. Malfertheiner P, Büchler M (1987) Clinical symptoms and signs and diagnostic requirements in acute pancreatitis. In: Beger HG, Büchler M (eds) Acute pancreatitis. Springer, Berlin Heidelberg New York, p 104Google Scholar
  28. Meyers MA, Evans JA (1973) Effects of pancreatitis on the small bowel and colon: spread along mesenteric planes. AJR 119:151–165Google Scholar
  29. Mueller PR, Miketic LM, Simeone JF, et al. (1988) Severe acute pancreatitis after percutaneous biopsy of the pancreas. AJR 151:493–494PubMedGoogle Scholar
  30. Neff CC, Simeone JF, Wittenberg J, Mueller PR, Ferrucci JT Jr (1984) Inflammatory pancreatic masses: problems in differentiating focal pancreatitis from carcinoma. Radiology 150:35–38PubMedGoogle Scholar
  31. Nordestgaard AG, Wilson SE, Williams RA (1986) Early computerized tomography as a predictor of outcome in acute pancreatitis. Am J Surg 152:127–132PubMedCrossRefGoogle Scholar
  32. Ott DJ, Gilliam JH III, Zagoria RJ, Young GP (1992) Interventional endoscopy of the biliary and pancreatic ducts: current indications and methods. AJR 158: 243–250PubMedGoogle Scholar
  33. Pombo F, Marini M, Beraza A, Rodriguez E (1991) Aortic dissection presenting as acute pancreatitis: CT diagnosis. Comput Med Imaging Graph 15:407–409PubMedCrossRefGoogle Scholar
  34. Ranson JHC (1982) Etiological and prognostic factors in human acute pancreatitis: a review. Am J Gastroenterol 77:633–638PubMedGoogle Scholar
  35. Ranson JHC, Pasternack BS (1977) Statistical methods for quantifying the severity of clinical acute pancreatitis. J Surg Res 22:79–91PubMedCrossRefGoogle Scholar
  36. Ranson JHC, Balthazar E, Caccavale R, Cooper M (1985) Computed tomography and the prediction of pancreatic abscess in acute pancreatitis. Ann Surg 201:656–665PubMedCrossRefGoogle Scholar
  37. Sadry F, Hauser H (1990) Fatal pancreatitis secondary to iatrogenic intramural duodenal hematoma: a case report and review of the literature. Gastrointest Radiol 15:296–298PubMedCrossRefGoogle Scholar
  38. Safrit HD, Rice RP (1989) Gastrointestinal complications of pancreatitis. Radiol Clin North Am 27:73–79PubMedGoogle Scholar
  39. Sarner M, Cotton PB (1984) Classification of pancreatitis. Gut 25:756–759PubMedCrossRefGoogle Scholar
  40. Semelka RC, Kroeker MA, Shoenut JP, Kroeker R, Yaffe CS, Micflikier AB (1991) Pancreatic disease: prospective comparison of CT, ERCP, and 1.5-T MR Imaging with dynamic gadolinium enhancement and fat suppression. Radiology 181:785–791PubMedGoogle Scholar
  41. Siegelman SS, Copeland BE, Saba GP, Cameron JL, Sanders RC, Zerhouni EA (1980) CT of fluid collections associated with pancreatitis. AJR 134: 1121–1132PubMedGoogle Scholar
  42. Steiner E, Mueller PR, Hahn PF, et al. (1988) Complicated pancreatic abscesses: problems in interventional management. Radiology 167:443–446PubMedGoogle Scholar
  43. Thoeni RF, Fell SC, Goldberg HI (1990) CT detection of asymptomatic pancreatitis following ERCP. Gastrointest Radiol 15:291–295PubMedCrossRefGoogle Scholar
  44. vanSonnenberg E, Wittich GR, Casola G, et al. (1985) Complicated pancreatic inflammatory disease: diagnostic and therapeutic role of interventional radiology. Radiology 155:355–340Google Scholar
  45. vanSonnenberg E, Casola G, Varney RR, Wittich GR (1989a) Imaging and interventional radiology for pancreatitis and its complications. Radiol Clin North Am 27:65–72PubMedGoogle Scholar
  46. vanSonnenberg E, Wittich GR, Casola G, et al. (1989b) Percutaneous drainage of infected and non-infected pancreatic pseudocysts: experience in 101 cases. Radiology 170:757–761PubMedGoogle Scholar
  47. vanSonnenberg E, D’Agostino HB, Sanchez RB, Casola G (1992) Percutaneous abscess drainage: editorial comments. Radiology 184:27–29PubMedGoogle Scholar
  48. Vernacchia FS, Jeffrey RB Jr, Federle MP, Grendell JH, Laing FC, Wing VW, Wall SD (1987) Pancreatic abscess: predictive value of early abdominal CT. Radiology 162:435–438PubMedGoogle Scholar
  49. Vujic I (1989) Vascular complications of pancreatitis. Radiol Clinic North Am 27:81–91Google Scholar
  50. Vujic I, Andersen BL, Stanley JH, Gobien RP (1984) Pancreatic and peripancreatic vessels: embolization for control of bleeding in pancreatitis. Radiology 150:51–55PubMedGoogle Scholar
  51. Weill F, Brun P, Rhomer P, Belloir A (1983) Migrations of fluid of pancreatic origin: ultrasonic and CT study of 28 cases. Ultrasound Med Biol 9:485–496PubMedCrossRefGoogle Scholar
  52. White EM, Wittenberg J, Mueller PR, et al. (1986) Pancreatic necrosis: CT manifestations. Radiology 158:343–346PubMedGoogle Scholar
  53. Zimmon D, Ranson JHC (1990) What is the role of endoscopy in the management of biliary pancreatitis, and when should it be utilized? Am J Gastroenterol 85:9–11PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • J. Drouillard
    • 1
  • F. Laurent
    • 1
  1. 1.Université de Bordeaux IIHôpital Haut Lévêque — U.S.N. — C.H.U. BordeauxPessacFrance

Personalised recommendations