2004, Number 1
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Anales de Radiología México 2004; 3 (1)
Pancreatitis aguda. Relación clínico-tomográfica
Quiroz MR, Lagunas TJC, Rodríguez MLE, Hernández TCG, Martínez SM
Language: Spanish
References: 14
Page: 33-38
PDF size: 206.17 Kb.
ABSTRACT
Objective: To determine the
correlation degreee that exists
between initial clinical manifestations
and tomographic signs (Balthazar
classification) in patients with
diagnosis of acute pancreatitis.
Material and methods: Between
September 2001 to October 2002, in
the Hospital Adolfo Ruiz Cortinez,
Veracruz, ver., 40 patiens were
included with clinical diagnosis and
tomographic of acute pancreatitis.
The results were analized by descriptive
analysis and Spearman coefficient
correlation.
Results: 40 patients were evaluated
of which 67.5 % were men and 32.5%
women. The clinical and laboratory
data were abdominal pain (100%),
and vomiting (90%), elevated
pancreatic enzymes (60%) and
leucocytosis (55%).
The tomographic diagnostic were
edematous pancreatitis (52.5%),
hemorrhagic pancreatitis (5%) and
necrotic pancreatitis (5%).
Complications described by CT were
collections (22.5%), abscess (5%),
pseudocyst (12.5%) and pleural
effusion (17.5%).
The index of Spearman was 0.6
Conclusion: The relationship
tomographic- clinical for acute
pancreatitis and their complications is
good (rs = 0.6). The CT is an effective
procedure for the diagnosis of
patients with acute pancreatitis.
REFERENCES
Domínguez M. T Eficacia de la tomogrfía en el diagnóstico de la pancreatitis aguda, Tesisis, Veracruz, IMSS; 1994.
Balthazar EJ, Robinson DL, Megibow AJ, Ranson JHC. Acute Pancreatitis: Value of CT in Establishing Prognosis. Radiology 1990:174:331-336.
Siegel M J, Sivit CJ. Pancreatitis Emergencies. Radiol Clin North Am 1997;35:815-830.
Vandyke JA, Rutsky EA, Stanley RJ. Acute Pancreatitis Associated with end stage renal disease. Radiology 1986;160:403-405.
Bradley EL. A Clinically Based Classification system for Acute Pancreatitis. Arc surg 1993;128:586-590.
Rotman N, Chevret S, Pezet D, y col. Prognostic Value of Early Computed Tomographic Scans in severe Acute Pancreatitis. J Am Coll Surg 1994;179:538-544.
Agarwal N, Pitchimoni CA, Sivaprasad AV. Evaluating Tests for Acute Pancreatitis. Am J Gastroenterol 1990;85:356-366.
Balthazar EJ. Acute Pancreatitis: Assessement of Severity wich Clinical and CT Evaluation. Radiology 2002;223:603-613.
Ranson JHC, Berman RS. Long Peritoneal Lavage Decreases pancreatic Sepsis in Acute Pancreatitis. Ann Surg 1990;211:708-718.
Alain CP, Hausser H, Meyer P, Rochner A. Value of contrast-Enhanced Computerized Tomography in the Early Diagnosis and Prognosis of acute Pancreatitis. Am J Surg 1998;155:457-466.
Madry S, Fromm D. Infected Retroperitoneal fat Necrosis Associated with Acute Pancreatitis. J Am Coll Surg 1994;178:2777-282.
Balthazar EJ, Ranson JHC, Naidich D, Megibow AJ, Caccavale R, Cooper MM. Acute pancreatitis: Prognostic Value of CT, Radiology 1985;156:7-772.
Krebs TL, Daly B, Wong-You-Cheong JJ, Carroll K, Bartlett ST, Acute Pancreatic Trasplant Rejection: Evaluation with Dinamic Contrast-Enhanced MR Imaging Compared wich Histopathologic Analysis. Radiology 1999;210:437-442.
Balthazar EJ, Freeny PC, vanSonnemberg E. Imaging and Intervention in Acute Pancreatitis. Radiology 1994;193:297-301.