Chronic pancreatitis CT: Difference between revisions

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{{Chronic pancreatitis}}
{{Chronic pancreatitis}}
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==Overview==
==Overview==
Contrast enhanced [[CT scan]] may be helpful in ruling out other diseases with similar presentation such as [[malignancy]] and [[Pseudocyst|pseudocysts]]. [[CT scan]] findings suggestive of chronic pancreatitis may include dilatation of the main [[pancreatic duct]], [[Calcification|calcifications]], pancreatic gland enlargement, changes in pancreatic size, shape, and contour, and [[Pancreatic pseudocyst|pancreatic pseudocysts]]. The sensitivity of CT scan is 75 to 90 percent and specificity is 85 percent.


==CT==
==CT==
*Ultrasound findings suggestive of chronic pancreatitis may include:
* Contrast enhanced CT scan may be helpful in ruling out other diseases with similar presentation such as malignancy and pseudocysts.
 
*CT scan findings suggestive of chronic pancreatitis may include:
**Dilatation of the main pancreatic duct
**Dilatation of the main pancreatic duct
**Calcifications
**Calcifications
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**Sensitivity: 75 to 90 percent<ref name="pmid2704799">{{cite journal |vauthors=Luetmer PH, Stephens DH, Ward EM |title=Chronic pancreatitis: reassessment with current CT |journal=Radiology |volume=171 |issue=2 |pages=353–7 |year=1989 |pmid=2704799 |doi=10.1148/radiology.171.2.2704799 |url=}}</ref>
**Sensitivity: 75 to 90 percent<ref name="pmid2704799">{{cite journal |vauthors=Luetmer PH, Stephens DH, Ward EM |title=Chronic pancreatitis: reassessment with current CT |journal=Radiology |volume=171 |issue=2 |pages=353–7 |year=1989 |pmid=2704799 |doi=10.1148/radiology.171.2.2704799 |url=}}</ref>
**Specificity: 85 percent<ref name="pmid2704799">{{cite journal |vauthors=Luetmer PH, Stephens DH, Ward EM |title=Chronic pancreatitis: reassessment with current CT |journal=Radiology |volume=171 |issue=2 |pages=353–7 |year=1989 |pmid=2704799 |doi=10.1148/radiology.171.2.2704799 |url=}}</ref>
**Specificity: 85 percent<ref name="pmid2704799">{{cite journal |vauthors=Luetmer PH, Stephens DH, Ward EM |title=Chronic pancreatitis: reassessment with current CT |journal=Radiology |volume=171 |issue=2 |pages=353–7 |year=1989 |pmid=2704799 |doi=10.1148/radiology.171.2.2704799 |url=}}</ref>
===='''Patient #1'''====
[[Image:CalcifiedPanDucStoneandSomefluid.png|500 px|thumb|center|By James Heilman, MD (Own work) [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0)], via Wikimedia Commons]]
 
[[Image:Chronische Pankreatitis mit Verkalkungen - CT axial.jpg|500 px|thumb|center|By Hellerhoff - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=20028787]]
[http://www.radswiki.net Images courtesy of RadsWiki]
[[Image:Eingeblutete Pankreaspseudozyste - CTpv axial 001.JPG|500 px|thumb|center|By Hellerhoff (Own work) [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia Commons]]
 
[[Image:Eingeblutete Pankreaspseudozyste - CTpv cor1 001.JPG|500 px|thumb|center|By Hellerhoff (Own work) [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia Commons]]
<gallery perrow="3">
Image:Chronic-pancreatitis-001.jpg
Image:Chronic-pancreatitis-002.jpg
Image:Chronic-pancreatitis-003.jpg
Image:Chronic-pancreatitis-004.jpg
Image:Chronic-pancreatitis-005.jpg
Image:Chronic-pancreatitis-006.jpg
</gallery>
 
 
===='''Patient #2'''====
 
CT demonstrates superior mesenteric vein thrombosis secondary to chronic pancreatitis:
 
[http://www.radswiki.net Images courtesy of RadsWiki]
 
<gallery perrow="2">
Image:Superior-mesenteric-vein-thrombosis-009.jpg
Image:Superior-mesenteric-vein-thrombosis-010.jpg
</gallery>


==References==
==References==

Latest revision as of 02:08, 16 December 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]

Overview

Contrast enhanced CT scan may be helpful in ruling out other diseases with similar presentation such as malignancy and pseudocysts. CT scan findings suggestive of chronic pancreatitis may include dilatation of the main pancreatic duct, calcifications, pancreatic gland enlargement, changes in pancreatic size, shape, and contour, and pancreatic pseudocysts. The sensitivity of CT scan is 75 to 90 percent and specificity is 85 percent.

CT

  • Contrast enhanced CT scan may be helpful in ruling out other diseases with similar presentation such as malignancy and pseudocysts.
  • CT scan findings suggestive of chronic pancreatitis may include:
    • Dilatation of the main pancreatic duct
    • Calcifications
    • Pancreatic gland enlargement
    • Changes in pancreatic size, shape, and contour
    • Pancreatic pseudocysts
  • The sensitivity and specificity of CT scan are as follows:
    • Sensitivity: 75 to 90 percent[1]
    • Specificity: 85 percent[1]
By James Heilman, MD (Own work) [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0)], via Wikimedia Commons
By Hellerhoff - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=20028787
By Hellerhoff (Own work) [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia Commons
By Hellerhoff (Own work) [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia Commons

References

  1. 1.0 1.1 Luetmer PH, Stephens DH, Ward EM (1989). "Chronic pancreatitis: reassessment with current CT". Radiology. 171 (2): 353–7. doi:10.1148/radiology.171.2.2704799. PMID 2704799.


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