Acute Pancreatitis; Correlation between Clinical Course and CT Grading.
10.3348/jkrs.1994.30.4.705
- Author:
Young Chul KIM
;
Seung Joon SHIN
;
Young Sook KIM
;
Sung Gwon KANG
;
Jeong KIM
;
Eun Gyung KIM
;
Jae Hee OH
;
Suk Jin CHUNG
;
Joo Nam BYUN
- Publication Type:Original Article
- MeSH:
Abscess;
Cellulitis;
Gallbladder;
Humans;
Liver;
Pancreatitis*;
Pleural Effusion;
Prognosis;
Retrospective Studies;
Tomography, X-Ray Computed
- From:Journal of the Korean Radiological Society
1994;30(4):705-709
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose is to correlate computed tomographic findings classified according to the degree of disease severity(grading A-E) with clinical course of acute pancreatitis. MATERIALS AND METHODS: in a retrospective review of 42 patients with acute pancreatitis, computed tomographic scans were classifed according to the degree of disease severity, and were correlatd with the clinical course. RESULTS: Pancreatic abscesses were seen in 14.3% and occured in 35.7% of grade D and E patients. Three patients with abscess died. Fatty infiltration of the liver was noted in 16.7%, pleural effusion in 21.4%.. stones and thickened wall of the gallbladder were present in 7.1% and in 9.5%, respectively. CONCLUSION: Our data indicate that phlegmonous extrapancreatic spread on initial CT scan had a high predictive value of the patients, prognosis.