Title: Analysing the Role of Computed Tomography in the Diagnosis of Acute Pancreatitis and in Grading its Severity
Authors: Ashwin Kumar S, Daisy Joseph V, Nandhini S, Vivek K
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.79
Abstract
Background: Acute pancreatitis is one of the most common gastroenterological disease. Alcoholism and biliary tract disease (gallstones) account for approximately 90% of cases. The incidence in Europe and United states ranges from 20 to over 70 per 100,000 population. The present study aims to evaluate CT manifestations of acute pancreatitis and to grade its severity using modified CT severity index score.
Materials and methods: Designed as descriptive study among the patients clinically suspected to have acute pancreatitis in the department of RA diodiagnosis, Kottayam. CT findings were evaluated an given scores in even numbers using modified CT severity index score in 100 patients.
Results: Out of 100 patients, CT shows 88% had acute pancreatitis, 4% had chronic pancreatitis without acute CT findings and 8% had normal CT appearance. Using modified CT severity score, 36% had mild disease, 53% had moderate and only 11% had severe disease. Peripancreatic fat stranding was the most common finding followed by size of the pancreas.
Conclusion: CT plays a very important role in the early diagnosis of acute pancreatitis and to grade the extent and severity of the disease and thus helpful in better management of the patients.
Keywords: Acute pancreatitis, computed tomography, modified CT severity index score.
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